Invigorate Men's Health & Wellness, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP110354 Issued in TX

Legal business name

INVIGORATE MEN'S HEALTH & WELLNESS, PLLC

Doing business as

INVIGORATE: Low-T - Health - Wellness

Practice address

4001 Cedar Elm LN
Suite B
Wichita Falls, TX 76308-3031

Phone

(940) 386-9334

Fax

(940) 386-9733

NPI assigned

Jun 22, 2015

Last updated

Jun 22, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Antoinette Rene Nunneley, APNNPI 1790762060

Title

NP/Owner

Phone

(940) 386-9334

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• INVIGORATE: Low-T - Health - Wellness Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Antoinette Rene Nunneley, ANP

  • Adult Health Nurse Practitioner
  • Wichita Falls, TX
  • NPI 1790762060
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1336521731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4001 CEDAR ELM LN",
            "address_2": "SUITE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083031",
            "telephone_number": "940-386-9334",
            "fax_number": "940-386-9733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 CEDAR ELM LN",
            "address_2": "SUITE B",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083031",
            "telephone_number": "940-386-9334",
            "fax_number": "940-386-9733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INVIGORATE MEN'S HEALTH & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-22",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "NUNNELEY",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "940-386-9334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "AP110354",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144490302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "144490304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INVIGORATE: Low-T - Health - Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Primary Care Clinic/Center in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.