NPIMap

Organization Active NPI

Spring Total Wellness PLLC

  • Adult Medicine Physician
  • Spring, TX
National Provider Identifier
1649835182
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
SPRING TOTAL WELLNESS PLLC
Practice address
6625 Spring Stuebner Rd Ste 205
Spring, TX 77389-5435
Phone
(800) 246-5698
NPI assigned
May 9, 2019
Organization subpart
Yes
Parent organization
MODERN MALE T-CLINIC, P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Salvatore R Campo, DO
Title
Physician/President
Phone
(800) 246-5698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

6625 Spring Stuebner Rd Ste 205
Spring, TX 77389-5435

Mailing address

5000 Eldorado Pkwy Ste 150-153
Frisco, TX 75033-8695
Phone (800) 246-5698

National Provider Directory

National Provider Directory
Part of
Modern Male T-Clinic PA

Locations

6625 Spring Stuebner Rd
Ste 215
Spring, TX 77389
Phone (281) 350-2020

6625 Spring Stuebner Rd
Ste 205
Spring, TX 77389

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

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": "1557360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1649835182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 ELDORADO PKWY STE 150-153",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750338695",
            "telephone_number": "800-246-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 SPRING STUEBNER RD STE 205",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773895435",
            "telephone_number": "800-246-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING TOTAL WELLNESS PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MODERN MALE T-CLINIC, P.A.",
        "enumeration_date": "2019-05-09",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "CAMPO",
        "authorized_official_first_name": "SALVATORE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PHYSICIAN/PRESIDENT",
        "authorized_official_telephone_number": "800-246-5698",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.