NPIMap

Organization Active NPI

Wellness Clinic, P.a.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1417107426
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K2264 Issued in TX
Legal business name
WELLNESS CLINIC, P.A.
Practice address
1515 N Cockrell Hill Rd
Ste 113
Dallas, TX 75211-1315
Phone
(214) 339-9090
Fax
(214) 339-9023
NPI assigned
Sep 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Authorized official

Name
Juan Francisco Quiroz, M.D.
Title
Director
Phone
(214) 339-9090

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X K2264 TX Primary

Addresses

Primary practice location

1515 N Cockrell Hill Rd
Ste 113
Dallas, TX 75211-1315

Mailing address

1515 N Cockrell Hill Rd
Ste 113
Dallas, TX 75211-1315
Phone (214) 339-9090

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222300800000",
    "number": "1417107426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N COCKRELL HILL RD",
            "address_2": "STE 113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111315",
            "telephone_number": "214-339-9090",
            "fax_number": "214-339-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N COCKRELL HILL RD",
            "address_2": "STE 113",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752111315",
            "telephone_number": "214-339-9090",
            "fax_number": "214-339-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CLINIC, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A",
        "authorized_official_last_name": "QUIROZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "FRANCISCO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "214-339-9090",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K2264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.