GRAND PRAIRIE WELLNESS CTR NPI 1568475366

NPI Information

  • NPI: 1568475366
  • Provider Name: GRAND PRAIRIE WELLNESS CTR
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Organization
  • Address: 1710 SMALL ST
    GRAND PRAIRIE, TX
    ZIP 75050
  • Phone: (972) 266-9123

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NPI Details

GRAND PRAIRIE WELLNESS CTR is a family medicine in Grand Prairie, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GRAND PRAIRIE WELLNESS CTR NPI is 1568475366. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1710 SMALL ST
GRAND PRAIRIE, TX
ZIP 75050-041
Phone: (972) 266-9123
Fax: (972) 266-7383

The provider's authorized official is Chuck Poffenbarger .
The authorized official title is President and has the following contact phone number (972) 266-9123.

The enumeration date for this NPI number is 8/14/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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