Texarkana Health and Wellness, LLC

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

11844 Issued in TX

Legal business name

TEXARKANA HEALTH AND WELLNESS, LLC

Doing business as

United Health and Wellness

Practice address

1718 Richmond Rd
Texarkana, TX 75503-2415

Phone

(903) 838-5883

Fax

(903) 223-9075

NPI assigned

Oct 9, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Mia Adams McDougal, DCNPI 1497019723

Title

Chiropractor

Phone

(903) 838-5883

Specialties & licenses 1

Addresses

Other names 1

• United Health and Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Tax ID family

Texarkana Health and Wellness LLC2 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.

• Texarkana Health & Wellness, LLC

  • Chiropractor
  • Texarkana, TX
  • NPI 1972931566
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Mia Adams McDougal, D.C.

  • Chiropractor
  • Texarkana, TX
  • NPI 1497019723
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1376970202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032415",
            "telephone_number": "903-838-5883",
            "fax_number": "903-223-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032415",
            "telephone_number": "903-838-5883",
            "fax_number": "903-223-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "903-838-5883",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "TX",
            "license": "11844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Texarkana Eye Associates
• Texarkana Eye Care Center LLP
• Texarkana Family Practice, P.a.
• Texarkana Gastroenterology Consultants, PA
• Texarkana Health & Wellness, LLC
• Texarkana Holistic Counseling PLLC
• Texarkana Ind School District
• Texarkana Internal Medicine Association PA
• Texarkana Ip, PLLC
• Texarkana Ketamine Clinic, PLLC

• Preferred Provider Organization in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Preferred Provider Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.