1St Choice Integrated Wellness Center PLLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

1ST CHOICE INTEGRATED WELLNESS CENTER PLLC

Practice address

2216 Southgate St Ste B
Arlington, TX 76013-7633

Phone

(817) 275-9249

NPI assigned

Jan 2, 2023

Last updated

Jan 2, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nader Jamal Awwad, DCNPI 1699705913

Title

Owner

Phone

(817) 275-9249

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nader Jamal Awwad, D.C.

  • Chiropractor
  • Arlington, TX
  • NPI 1699705913
  Medicare reassignment NPD Authorized official
• Adedoyin Aderonmu, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Arlington, TX
  • NPI 1518439017
  Medicare reassignment NPD

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672617600000",
    "number": "1659084952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 SOUTHGATE ST STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760137633",
            "telephone_number": "817-275-9249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 SOUTHGATE ST STE B",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760137633",
            "telephone_number": "817-275-9249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CHOICE INTEGRATED WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2023-01-02",
        "status": "A",
        "authorized_official_last_name": "AWWAD",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "JAMAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-275-9249",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Arlington, TX
• Providers in Arlington, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.