GRAPEVINE TOTAL WELLNESS PLLC


Address: 1000 W St Hwy 114, Grapevine, TX 76051-3987
Phone: 8002465698

GRAPEVINE TOTAL WELLNESS PLLC (NPI# 1215594577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215594577
Entity Type Organization
Organization Name GRAPEVINE TOTAL WELLNESS PLLC
Practice Address 1000 W St Hwy 114
Grapevine
TX 76051-3987
Mailing Address 5000 Eldorado Pkwy Ste 150-153
Frisco
TX 75033-8695
Practice Telephone 8002465698
Mailing Telephone 8002465698
Enumeration Date 2019-05-22
Last Update Date 2019-06-11
Authorized Official Name SALVATORE CAMPO (PHYSICIAN/PRESIDENT)
Authorized Official Telephone 8002465698
Authorized Official Credential DO
Is Organization Subpart Y
Parent Organization Name MODERN MALE T-CLINIC, P.A.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207QA0505X Family Medicine
Specialization: Adult Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 1000 W ST HWY 114
City GRAPEVINE
State TX
Zip Code 76051-3987

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881227346 Jeffrey Joseph Cervenka Physical Therapist 2421 Ira E Woods Ave #101, Grapevine, TX 76051 2020-02-12
1871137562 Karen Lorince Counselor 2409 N. Support Road, Grapevine, TX 76051 2019-11-05
1548733785 Jessica Thorman Johnson Dietitian, Registered 1056 Texan Trail (fortis Bmi), Grapevine, TX 76051 2019-01-10
1164928958 Kristen Diou Counselor 913 S Church St Ste 103, Grapevine, TX 76051 2018-04-02
1356860597 Anissa Singratanakul D.m.d, Pllc Dentist 1231 William D Tate Suite 400, Grapevine, TX 76051 2017-09-19
1033637665 James Abraham Thomas Pharmacy 1601 W. State Hwy 114, Grapevine, TX 76051 2017-09-04
1437606563 D'anna Sims Counselor 2451 Stone Myers Parkway, #100, Grapevine, TX 76051 2016-09-07
1477006369 Melinda Jeanne Mashburn Nurse Practitioner 1600 West College St., Suite 60, Grapevine, TX 76051 2016-07-27
1437506623 Allcare Physicians Group Registered Nurse 1111 S Main St Ste 119, Grapevine, TX 76051 2016-05-18
1790141745 Colwick Counseling Clinic/Center 1400 W. Northwest Highway Suite 260, Grapevine, TX 76051 2016-01-06
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Taxonomy Information

Taxonomy Code 207QA0505X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Adult Medicine

Taxonomy Definition

Definition to come.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1720686496 Hill Country Health Pllc Family Medicine 1010 Ranch Road 620 S Ste 107, Lakeway, TX 78734-5638 2020-10-14
1174139471 Stacie Leann Herring Family Medicine 1300 Tx-107, La Villa, TX 78562 2020-09-22
1336753508 Woodlands Diagnostic Clinic, Pa Family Medicine 9201 Pinecroft Dr Ste 200, Shenandoah, TX 77380-3889 2020-09-03
1932738465 Arlington Integrative Medicine LLC Family Medicine 1420 N Cooper St Ste 109, Arlington, TX 76011-8530 2020-04-06
1396379772 Heights Total Wellness Clinic, Pllc Family Medicine 1801 Durham Dr Ste 4, Houston, TX 77007-2272 2020-02-25
1063043271 Katie Lianne Jubala Family Medicine 129 Park Place Cir, Iowa Park, TX 76367-1064 2020-01-28
1558909879 Forrest Duane Giles Family Medicine 152 Mcvoid Rd, Springtown, TX 76082-5929 2019-12-17
1710525225 Mary Osawe Family Medicine 1308 Winecup Ct, Allen, TX 75002-0983 2019-12-16
1609411735 Sara E Bellard Family Medicine 4735 Ridgewood Ave, Port Arthur, TX 77642-6612 2019-11-13
1528600574 Shearren Johnson Family Medicine 2162 Us Highway 259 S, Diana, TX 75640-3510 2019-10-10
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Competitor

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City GRAPEVINE
Zip Code 76051

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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