REDBIRD WELLNESS PLLC (NPI# 1285064774) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285064774 |
| Entity Type | Organization |
| Organization Name | REDBIRD WELLNESS PLLC |
| Practice Address |
1251 E Red Bird Ln Dallas TX 75241-2008 |
| Practice Telephone | 2143740827 |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |
| Authorized Official Name | DR. ANSHUL AGARWAL (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 2143740827 |
| Authorized Official Credential | MD, PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207U00000X | Nuclear Medicine | P0890 | TX | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | P0890 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1251 E RED BIRD LN |
| City | DALLAS |
| State | TX |
| Zip Code | 75241-2008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124395025 | Ummal B Mahuwala | Dietitian, Registered | 1251 E Red Bird Ln, Dallas, TX 75241-2008 | 2011-11-20 |
| 1093203176 | Aniraphone Laochareun | Physician Assistant | 1251 E Red Bird Ln, Dallas, TX 75241-2008 | 2018-04-25 |
| 1730579376 | Lisa Hu | Physician Assistant | 1251 E Red Bird Ln, Dallas, TX 75241-2008 | 2015-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649888777 | Sonya Williams | Licensed Practical Nurse | 3481 Pinebrock Dr, Dallas, TX 75241 | 2020-07-15 |
| 1346700259 | Angel Vales | Counselor | 5520 Langdon Rd, Dallas, TX 75241 | 2019-03-25 |
| 1144708611 | Brandie L Mccray | Counselor | 155 Idlewheat Ln, Dallas, TX 75241 | 2018-08-06 |
| 1649792144 | Jessica Franco Skinner | Social Worker | 5520 Langdon Rd., Suite B, C/o Wilmer Hutchins Youth and Family Center, Dallas, TX 75241 | 2017-07-17 |
| 1659790756 | Michele S Gomez | Technician | 3984 Texas College Drive, Dallas, TX 75241 | 2014-04-16 |
| 1013223494 | Jennifer Peterson | Assisted Living Facility | 4160 Clark College Dr., Dallas, TX 75241 | 2010-08-24 |
| 1447561394 | Tricia Davis | Social Worker | 1568 Sax Leigh Dr, Dallas, TX 75241 | 2010-06-25 |
| 1871804989 | Sonya Williams | Case Management | 3481pinebrook Dr, Dallas, TX 75241 | 2010-06-24 |
| 1144468414 | Edwin Ng | Dentist | 1500 E Langdon Rd, Dallas, TX 75241 | 2009-01-26 |
| 1578709135 | Lynita Teresa Fisher | Registered Nurse | 1244 Serenade Lane, Dallas, TX 75241 | 2008-12-31 |
| Find all providers in zip 75241 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245853811 | Forest Family Clinic, LLC | Family Medicine | 9550 Forest Ln Suite 606, Dallas, TX 75243-5905 | 2020-05-18 |
| 1104447937 | Centenary Family & Urgent Care | Family Medicine | 8702 S Lancaster Rd Ste 160a, Dallas, TX 75241-6301 | 2020-05-04 |
| 1285274456 | Genesis Health Partners Pllc | Family Medicine | 8390 Lbj Fwy Ste 1000b, Dallas, TX 75243-1188 | 2020-01-15 |
| 1194368266 | Sierra Healthcare Network LLC | Family Medicine | 2727 Lbj Fwy Ste 326, Dallas, TX 75234-7478 | 2019-10-22 |
| 1184274896 | Matilda N Nju | Family Medicine | 41 Kelso Way, Dallas, GA 30132-2618 | 2019-09-14 |
| 1992366488 | Anmd Health Pllc | Family Medicine | 1910 Pacific Ave Suite 15700, Dallas, TX 75201 | 2019-06-25 |
| 1366908600 | Advanced Wound Care of North Texas Pllc | Family Medicine | 13154 Coit Rd Ste 102d, Dallas, TX 75240-5787 | 2019-02-12 |
| 1932664935 | Environmental Health Center - North Texas Pa | Family Medicine | 8345 Walnut Hill Ln Ste 220, Dallas, TX 75231-4205 | 2019-02-04 |
| 1679043723 | Inwood Medical Clinic Inc. | Family Medicine | 2916 Inwood Rd, Dallas, TX 75235-7518 | 2018-12-03 |
| 1134698939 | Cayla Schaner | Family Medicine | 3600 Gaston Ave Ste 1109, Dallas, TX 75246-1811 | 2018-11-21 |
| Find all providers in DALLAS | ||||
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| 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.