Organization Active NPI

DFW Wellness Center

  • Pain Medicine Physician
  • Plano, TX
National Provider Identifier
1346679651
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
N6976 Issued in TX
Legal business name
DFW WELLNESS CENTER
Practice address
5944 W Parker Rd Ste 300
Plano, TX 75093-6410
Phone
(214) 709-1904
Fax
(214) 292-9329
NPI assigned
Nov 6, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Authorized official

Name
Gabriel Angel Rodriguez, MD
Title
Ceo
Phone
(214) 709-1904

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X N6976 TX Primary

Addresses

Primary practice location

5944 W Parker Rd Ste 300
Plano, TX 75093-6410

Mailing address

6032 Richmond Ave
Dallas, TX 75206-6842
Phone (214) 709-1904

National Provider Directory

National Provider Directory
Tax ID family
DFW Wellness Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383696000000",
    "number": "1346679651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6032 RICHMOND AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752066842",
            "telephone_number": "214-709-1904",
            "fax_number": "214-292-9329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5944 W PARKER RD STE 300",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750936410",
            "telephone_number": "214-709-1904",
            "fax_number": "214-292-9329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DFW WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-06",
        "last_updated": "2013-11-06",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "ANGEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-709-1904",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "N6976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.