Serendipity Wellness Center, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

J5027 Issued in TX

Legal business name

SERENDIPITY WELLNESS CENTER, LLC

Practice address

1732 Galleria Oaks Dr
Texarkana, TX 75503-4649

Phone

(903) 794-1636

Fax

(903) 793-1746

NPI assigned

Nov 23, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Robert C Strayhan, M.D.

Title

Managing Member

Phone

(903) 280-6666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1322006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325635200000",
    "number": "1962779660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5411 PLAZA DR",
            "address_2": "SUITE F",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755031666",
            "telephone_number": "903-334-8140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 GALLERIA OAKS DR",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755034649",
            "telephone_number": "903-794-1636",
            "fax_number": "903-793-1746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENDIPITY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-23",
        "last_updated": "2012-01-04",
        "status": "A",
        "authorized_official_last_name": "STRAYHAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "903-280-6666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J5027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Allen Sell, MD
• David F Sellers, CRNA
• Senior Citizens Services
• Senior Respiratory Solutions Inc
• Senior Respiratory Solutions, Inc.
• Vernon C. Shaffer Jr., MD
• James Higdon Shambarger, D.D.S, M.S.
• Sandra Lynn Shambarger, DDS
• Roshan L Sharma, M.D.
• Kristy Sharp, COTA/L

• Psychiatry Physician in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.