Organization Active NPI

Lonestar Intimate Wellness PLLC

  • Gynecology Physician
  • Dallas, TX
National Provider Identifier
1487413340
Registry record updated Mar 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
LONESTAR INTIMATE WELLNESS PLLC
Doing business as
Women's Wellness Institute of Dallas
Practice address
8201 Preston Rd Ste 520
Dallas, TX 75225-6210
Phone
(214) 442-0055
Fax
(214) 442-0056
NPI assigned
Mar 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2024

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

Authorized official

Name
Welsey Anne Brady, MD
Title
Medical Director
Phone
(214) 442-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

8201 Preston Rd Ste 520
Dallas, TX 75225-6210

Mailing address

8201 Preston Rd Ste 520
Dallas, TX 75225-6210
Phone (214) 442-0055

Other names 1

  • Women's Wellness Institute of Dallas Doing business as

National Provider Directory

National Provider Directory

Locations

8201 Preston Rd
Ste 520
Dallas, TX 75225
Phone (214) 442-0055

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1710374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710720000000",
    "number": "1487413340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256210",
            "telephone_number": "214-442-0055",
            "fax_number": "214-442-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 PRESTON RD STE 520",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752256210",
            "telephone_number": "214-442-0055",
            "fax_number": "214-442-0056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONESTAR INTIMATE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-14",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "WELSEY",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "214-442-0055",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Women's Wellness Institute of Dallas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 18, 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.