NPIMap

Organization Active NPI

Nova Edge Physicians PLLC

Doing business as Lifespan Wellness Center

  • Internal Medicine Physician
  • Frisco, TX
National Provider Identifier
1356133680
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NOVA EDGE PHYSICIANS PLLC
Doing business as
Lifespan Wellness Center
Practice address
8668 John Hickman Pkwy Ste 1001
Frisco, TX 75034-9388
Phone
(469) 664-0070
Fax
(469) 217-3872
NPI assigned
May 21, 2025
Last updated
May 21, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Dr. Wafer S Gamil, MDNPI 1558382473
Title
Sole Member/Medical Director
Phone
(469) 664-0070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

8668 John Hickman Pkwy Ste 1001
Frisco, TX 75034-9388

Mailing address

8668 John Hickman Pkwy Ste 1001
Frisco, TX 75034-9388
Phone (469) 664-0070

Other names 1

  • Lifespan Wellness Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1747785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1356133680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 JOHN HICKMAN PKWY STE 1001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349388",
            "telephone_number": "469-664-0070",
            "fax_number": "469-217-3872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8668 JOHN HICKMAN PKWY STE 1001",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750349388",
            "telephone_number": "469-664-0070",
            "fax_number": "469-217-3872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EDGE PHYSICIANS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-21",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "GAMIL",
        "authorized_official_first_name": "WAFER",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOLE MEMBER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "469-664-0070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifespan Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.