Organization Active NPI

Restore Wellness Primary Care, PLLC

  • Family Medicine Physician
  • Abilene, TX
National Provider Identifier
1760953574
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RESTORE WELLNESS PRIMARY CARE, PLLC
Practice address
4601 Buffalo Gap Rd Ste C1
Abilene, TX 79606-3363
Phone
(325) 829-1185
NPI assigned
Dec 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Ms. Patricia Munoz Trueblood, NP-C
Title
Nurse Practitioner
Phone
(325) 829-1185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4601 Buffalo Gap Rd Ste C1
Abilene, TX 79606-3363

Mailing address

4601 Buffalo Gap Rd Ste C1
Abilene, TX 79606-3363
Phone (325) 829-1185

National Provider Directory

National Provider Directory

Locations

4601 Buffalo Gap Rd
Ste C1
Abilene, TX 79606
Phone (325) 261-1640

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1760953574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD STE C1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063363",
            "telephone_number": "325-829-1185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 BUFFALO GAP RD STE C1",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063363",
            "telephone_number": "325-829-1185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORE WELLNESS PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "TRUEBLOOD",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MUNOZ",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "325-829-1185",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; 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.