Modern Day Wellness

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

509900 Issued in TX

Legal business name

MODERN DAY WELLNESS

Practice address

1421 Hurstview Dr
Hurst, TX 76053-3947

Phone

(817) 475-1139

NPI assigned

Mar 20, 2014

Last updated

Mar 20, 2014By 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

Ms. Tracye A Byars, RN

Title

Owner

Phone

(817) 475-1139

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395273600000",
    "number": "1720405384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 HURSTVIEW DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533947",
            "telephone_number": "817-475-1139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 HURSTVIEW DR",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760533947",
            "telephone_number": "817-475-1139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN DAY WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2014-03-20",
        "status": "A",
        "authorized_official_last_name": "BYARS",
        "authorized_official_first_name": "TRACYE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-475-1139",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QB0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Birthing",
            "state": "TX",
            "license": "509900",
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "TX",
            "license": "509900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midcities Pharmacy Inc (MidCities Pharmacy)
• James F Miller, LMT
• Shelley Miller, COTA
• Sherry Mina
• Josette Noelle Mlynarski, M.S., CCC-SLP
• Abdul Mohamed
• Ana Graciela Molina, MS, CCC-SLP
• Monkey Mouths, LLC
• Monkey Mouths, PLLC
• James R Moran, D.D.S.

• Community Health Clinic/Center in Hurst, TX
• Providers in Hurst, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.