Organization Active NPI

Texarkana Health & Wellness, LLC

  • Chiropractor
  • Texarkana, TX
National Provider Identifier
1972931566
Registry record updated Aug 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11844 Issued in TX
Legal business name
TEXARKANA HEALTH & WELLNESS, LLC
Doing business as
United Health and Wellness
united health & wellness
Practice address
1718 Richmond Rd
Texarkana, TX 75503-2415
Phone
(903) 838-5883
Fax
(903) 223-9075
NPI assigned
Oct 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2020

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

Authorized official

Name
Dr. Mia Adams McDougal, DCNPI 1497019723
Title
Chiropractor
Phone
(903) 838-8385

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
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 11844 TX Primary

Addresses

Primary practice location

1718 Richmond Rd
Texarkana, TX 75503-2415

Mailing address

1718 Richmond Rd
Texarkana, TX 75503-2415
Phone (903) 838-5883

Other names 2

  • United Health and Wellness Doing business as
  • united health & wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Texarkana Health and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1381968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597795200000",
    "number": "1972931566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032415",
            "telephone_number": "903-838-5883",
            "fax_number": "903-223-9075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755032415",
            "telephone_number": "903-838-5883",
            "fax_number": "903-223-9075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXARKANA HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-17",
        "last_updated": "2020-08-19",
        "certification_date": "2020-08-19",
        "status": "A",
        "authorized_official_last_name": "MCDOUGAL",
        "authorized_official_first_name": "MIA",
        "authorized_official_middle_name": "ADAMS",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "903-838-8385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "11844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "united health & wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; 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.