Texas Medical Wellness Center PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

M0099 Issued in TX

Legal business name

TEXAS MEDICAL WELLNESS CENTER PLLC

Practice address

9801 Anderson Mill Rd
#105
Austin, TX 78750-2274

Phone

(512) 999-7010

NPI assigned

Sep 16, 2010

Organization subpart

No

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

Authorized official

Name

Chen Ha, M.D.NPI 1538171277

Title

M.D.

Phone

(512) 999-7010

Specialties & licenses 2

Addresses

Other names 1

• Medical Wellness Center LLC Other name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chen Ha, M.D.

  • Family Medicine Physician
  • Cherry Hill, NJ
  • NPI 1538171277

  TX

  Medicare reassignment Authorized official

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

{
    "created_epoch": "1284595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397606400000",
    "number": "1841508496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9801 ANDERSON MILL RD",
            "address_2": "#105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502274",
            "telephone_number": "512-999-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9801 ANDERSON MILL RD",
            "address_2": "#105",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787502274",
            "telephone_number": "512-999-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS MEDICAL WELLNESS CENTER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-16",
        "last_updated": "2014-04-16",
        "status": "A",
        "authorized_official_last_name": "HA",
        "authorized_official_first_name": "CHEN",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "512-999-7010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08691900",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M0099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Wellness Center LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Primary Care Clinic/Center in Austin, TX
• Providers in Austin, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.