Active NPI
Rebalance Wellness Centers
- Plastic and Reconstructive Surgery Physician
- Carrollton, TX
National Provider Identifier
1376080770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- Legal business name
- REBALANCE WELLNESS CENTERS
- Practice address
- 3012 E Hebron Pkwy
Suite 116
Carrollton, TX 75010-4464 - Phone
- (214) 200-4277
- NPI assigned
- Jan 23, 2017
- Last updated
- Jan 23, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christian Moya, MD
- Title
- MD
- Phone
- (214) 200-4277
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic and Reconstructive Surgery Physician | 2086S0122X | NU | Primary | |
| Trauma Surgery Physician | 2086S0127X | NU |
Addresses
Primary practice location
3012 E Hebron Pkwy
Suite 116
Carrollton, TX 75010-4464
Mailing address
3012 E Hebron Pkwy
Suite 116
Carrollton, TX 75010-4464
Phone (214) 200-4277
National Provider Directory
National Provider Directory- Tax ID family
- Rebalance Wellness Centers
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Carrollton, TX
- NPI 1396284600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485129600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1485129600000",
"number": "1376080770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3012 E HEBRON PKWY",
"address_2": "SUITE 116",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104464",
"telephone_number": "214-200-4277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3012 E HEBRON PKWY",
"address_2": "SUITE 116",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104464",
"telephone_number": "214-200-4277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBALANCE WELLNESS CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-23",
"last_updated": "2017-01-23",
"status": "A",
"authorized_official_last_name": "MOYA",
"authorized_official_first_name": "CHRISTIAN",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "214-200-4277",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.