MWLC Mansfield LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MWLC MANSFIELD LLC

Practice address

4000 Five Points Dr Ste 169
Arlington, TX 76018-6057

Phone

(817) 375-0537

Fax

(817) 375-0538

NPI assigned

Apr 26, 2016

Organization subpart

No

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

Authorized official

Name

Timothy Gregory

Title

Owner/Manager

Phone

(817) 501-8327

Specialties & licenses 1

Addresses

Tax ID family

Medi Weightloss2 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.

• Medi Weightloss

  • Medical Specialty Clinic/Center
  • Arlington, TX
  • NPI 1689116832
  NPD tax ID

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

{
    "created_epoch": "1461628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1518312669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2940 HOLLOW VALLEY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445531",
            "telephone_number": "817-501-8327",
            "fax_number": "817-375-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 FIVE POINTS DR STE 169",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760186057",
            "telephone_number": "817-375-0537",
            "fax_number": "817-375-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWLC MANSFIELD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-26",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "GREGORY",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "817-501-8327"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emerance Mutimukeye, MSW
• Melisa Washington Muzny, M.S., M.ED., LPC
• MW Wellness VI, LLC
• Joshua Otundo Mwambi
• Silas Mithika Mwambia
• My Health My Resources of Tarrant County (MHMR of Tarrant County)
• My Health My Resources of Tarrant County (MHMR of Tarrant County)
• My Health My Resources of Tarrant County (MHMR of Tarrant County)
• My Health My Resources of Tarrant County (MHMR of Tarrant County)
• Myclinic LLC (My Clinic)

• Family Medicine Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.