MODERN DAY WELLNESS (NPI# 1720405384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720405384 |
| Entity Type | Organization |
| Organization Name | MODERN DAY WELLNESS |
| Practice Address |
1421 Hurstview Dr Hurst TX 76053-3947 |
| Practice Telephone | 8174751139 |
| Mailing Telephone | 8174751139 |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2014-03-20 |
| Authorized Official Name | MS. TRACYE A BYARS (OWNER) |
| Authorized Official Telephone | 8174751139 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QB0400X |
Clinic/Center Specialization: Birthing |
509900 | TX | Ambulatory Health Care Facilities |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
509900 | TX | Ambulatory Health Care Facilities |
| Street Address |
1421 HURSTVIEW DR |
| City | HURST |
| State | TX |
| Zip Code | 76053-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518449933 | Areli Nunez | Physical Therapy Assistant | 304 Willow St, Hurst, TX 76053 | 2018-09-01 |
| 1043737778 | Sarah Renee Sarmiento | Occupational Therapy Assistant | 305 Ne Loop 820 Suite 209, Hurst, TX 76053 | 2017-08-23 |
| 1689026676 | Knee Coaster, LLC | Durable Medical Equipment & Medical Supplies | 1675 Sotogrande Blvd, 202, Hurst, TX 76053 | 2016-07-01 |
| 1053769836 | National Vision, Inc. | Technician/Technologist | 732 West Pipeline Rd, Hurst, TX 76053 | 2016-06-02 |
| 1902269038 | Martha De La Cruz-rodriguez | Specialist/Technologist | 305 Ne Loop 820 Business, Tower 1 Suite 200, Hurst, TX 76053 | 2016-04-05 |
| 1427420249 | Carol R. Wadsworth | Psychologist | 700 Ne Loop 820 Ste 200a, Hurst, TX 76053 | 2015-10-21 |
| 1972984623 | Sara Khalid Mahmood | Dentist | 800 Forest Oaks Ln Ste A, Hurst, TX 76053 | 2015-06-17 |
| 1306230073 | Sachenka Rivas | Speech-Language Pathologist | 305 Ne Loop 820,business Tower 1, Suite 200, Hurst, TX 76053 | 2015-03-20 |
| 1760873954 | Marcy Ann Fuentes | Occupational Therapy Assistant | 305 Ne Loop 820; Business Tower 1, Suite 200, Hurst, TX 76053 | 2015-02-10 |
| 1588062632 | Carolina Talancon | Specialist/Technologist | 305 Ne Loop 820;, Business Tower 1, Suite 200;, Hurst, TX 76053 | 2014-12-05 |
| Find all providers in zip 76053 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1396303574 | At Home Lymphatic Wellness | Clinic/Center | 9898 Bissonnet St Ste 665, Houston, TX 77036 | 2019-06-03 |
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| Find all providers with the same taxonomy | ||||
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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.