NPIMap

Organization Active NPI

Paris Wellness Center & Medical Spa

  • Obesity Medicine (Family Medicine) Physician
  • Paris, TX
National Provider Identifier
1851803373
Registry record updated Oct 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
AP113680 Issued in TX
Legal business name
PARIS WELLNESS CENTER & MEDICAL SPA
Practice address
1122 E. Austin St.
Paris, TX 75460
Phone
(903) 783-0500
Fax
(903) 783-1167
NPI assigned
Oct 25, 2017
Organization subpart
Yes
Parent organization
WOMACK PRESTON FAMILY MEDICAL CLINICAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2017

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

Authorized official

Name
Brandy Renee Preston, FNP-BC
Title
Owner/Nurse Practitioner
Phone
(903) 783-0500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X AP113680 TX Primary

Addresses

Primary practice location

1122 E. Austin St.
Paris, TX 75460

Mailing address

1122 E. Austin St
Paris, TX 75460
Phone (903) 783-0500

National Provider Directory

National Provider Directory
Part of
Preston Family Medical Clinic

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508889600000",
    "number": "1851803373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E. AUSTIN ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-783-0500",
            "fax_number": "903-783-1167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E. AUSTIN ST.",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "75460",
            "telephone_number": "903-783-0500",
            "fax_number": "903-783-1167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARIS WELLNESS CENTER & MEDICAL SPA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOMACK PRESTON FAMILY MEDICAL CLINIC",
        "enumeration_date": "2017-10-25",
        "last_updated": "2017-10-25",
        "status": "A",
        "authorized_official_last_name": "PRESTON",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "903-783-0500",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "TX",
            "license": "AP113680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2017; 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.