Regen Health Texas, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

REGEN HEALTH TEXAS, PLLC

Practice address

6001 Harris Pkwy
Fort Worth, TX 76132-4103

Phone

(817) 313-5597

Fax

(817) 370-6401

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Marie T Serna

Title

Administrator

Phone

(817) 313-5597

Specialties & licenses 2

Addresses

Other names 1

• Quiet Waters Health Former legal business name

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1457101206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-313-5597",
            "fax_number": "817-370-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6001 HARRIS PKWY",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324103",
            "telephone_number": "817-313-5597",
            "fax_number": "817-370-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGEN HEALTH TEXAS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "SERNA",
        "authorized_official_first_name": "MARIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "817-313-5597"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quiet Waters Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tausha Reeves, PHARM. D.
• Tracy L Reeves, RN
• Refugio Senior Center
• Refugio Senior Center LLC
• Alice Alexandra Regalado, M.S., CF-SLP
• Regency Hospital of Fort Worth, LLLP
• Regency IHS Pharmacy Services LLC
• Regenerative Wellness Solutions Inc
• Jennifer Wright Regian
• Natalie Marie Muller Regian, DO

• Primary Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.