Organization Active NPI

Men'S Wellness and Testosterone Center, LLC

  • General Practice Physician
  • Allen, TX
National Provider Identifier
1457725277
Registry record updated Nov 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
N0923 Issued in TX
Legal business name
MEN'S WELLNESS AND TESTOSTERONE CENTER, LLC
Practice address
945 W Stacy Rd Ste 120
Allen, TX 75013-5077
Phone
(214) 212-1538
NPI assigned
Nov 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2015

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

Authorized official

Name
Dr. Gulam M Waheed, D.O.
Title
Managing Partner
Phone
(214) 212-1538

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X N0923 TX Primary

Addresses

Primary practice location

945 W Stacy Rd Ste 120
Allen, TX 75013-5077

Mailing address

945 W Stacy Rd Ste 120
Allen, TX 75013-5077
Phone (214) 212-1538

National Provider Directory

National Provider Directory

Locations

945 W Stacy Rd
Ste 120
Allen, TX 75013
Phone (214) 212-1538

NPI Registry JSON

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

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447718400000",
    "number": "1457725277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 W STACY RD STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135077",
            "telephone_number": "214-212-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 W STACY RD STE 120",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750135077",
            "telephone_number": "214-212-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEN'S WELLNESS AND TESTOSTERONE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-17",
        "last_updated": "2015-11-17",
        "status": "A",
        "authorized_official_last_name": "WAHEED",
        "authorized_official_first_name": "GULAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "214-212-1538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "N0923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2015; 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.