Active NPI
Galaxy Wellness Services LLC
- Family Medicine Physician
- Longview, TX
National Provider Identifier
1669185625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GALAXY WELLNESS SERVICES LLC
- Practice address
- 1201 W Loop 281 Ste 302
Longview, TX 75604-2941 - Phone
- (903) 212-0556
- Fax
- (903) 212-3456
- NPI assigned
- Jan 4, 2023
- Last updated
- Jan 4, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Hillary Mitchell, NP
- Title
- Owner/Nurse Practitioner
- Phone
- (903) 212-0556
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1201 W Loop 281 Ste 302
Longview, TX 75604-2941
Mailing address
1201 W Loop 281 Ste 302
Longview, TX 75604-2941
Phone (903) 212-0556
National Provider Directory
National Provider DirectoryLocations
1201 W Loop 281
Ste 302
Longview, TX 75604
Phone (903) 212-0556
Practitioners & affiliated clinicians
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.
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1992161301
-
- Family Nurse Practitioner
- Longview, TX
- NPI 1023863586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1672790400000",
"number": "1669185625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W LOOP 281 STE 302",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042941",
"telephone_number": "903-212-0556",
"fax_number": "903-212-3456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W LOOP 281 STE 302",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756042941",
"telephone_number": "903-212-0556",
"fax_number": "903-212-3456"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALAXY WELLNESS SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-04",
"last_updated": "2023-01-04",
"certification_date": "2023-01-04",
"status": "A",
"authorized_official_last_name": "MITCHELL",
"authorized_official_first_name": "HILLARY",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "903-212-0556",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.