Organization Active NPI

Mind Body Wellness Solutions

  • Primary Care Clinic/Center
  • Victoria, TX
National Provider Identifier
1891333753
Registry record updated Dec 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MIND BODY WELLNESS SOLUTIONS
Practice address
3408 Sam Houston Dr
Victoria, TX 77904-2238
Phone
(361) 844-8866
Fax
(361) 894-6064
NPI assigned
Dec 11, 2019
Last updated
Dec 11, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2019

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

Authorized official

Name
Ginger CarverNPI 1003044330
Title
RN, FNP
Phone
(361) 844-8866

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

3408 Sam Houston Dr
Victoria, TX 77904-2238

Mailing address

3408 Sam Houston Dr
Victoria, TX 77904-2238
Phone (361) 844-8866

Other identifiers 1

IdentifierTypeStateIssuer
1003044330OtherTXNPI NUMBER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1576022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576022400000",
    "number": "1891333753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3408 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042238",
            "telephone_number": "361-844-8866",
            "fax_number": "361-894-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3408 SAM HOUSTON DR",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779042238",
            "telephone_number": "361-844-8866",
            "fax_number": "361-894-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND BODY WELLNESS SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-11",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "RN, FNP",
        "authorized_official_telephone_number": "361-844-8866"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1003044330",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.