Organization · Type 2 NPI

Prodigy Yoga

Clinic/Center · Texarkana, AR

NPI number 1861173874 Active

Practice location

200 E Broad St
Texarkana, AR 71854-5904

Call (210) 860-3493 Map

Mailing address

7 Carol Ln
Texarkana, TX 75501-9700

Other practice locations

3423 New Boston Rd, Texarkana, TX 75501-3137 · (210) 860-3493

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

Other clinic/center providers in Texarkana

See all in Texarkana →

NPI record

NPI: 1861173874
Entity type: Organization (Type 2)
Issued: Jul 31, 2023
Last updated: Jul 31, 2023
Status: Active

Other names

Prodigy Wellness Collective · doing business as
Prodigy Life · other name

Authorized official

Mrs. Jessica Renee McCarty, R-YFMT, R-IAYT
Owner, Yoga Therapist
(210) 860-3493

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861173874

Prodigy Yoga's National Provider Identifier is 1861173874, issued on Jul 31, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Texarkana, AR. The record was last updated on Jul 31, 2023.