Organization · Type 2 NPI
North Texas Brain and Wellness, Inc.
Multi-Specialty Clinic/Center · Southlake, TX
NPI number
1952958274
Active
Practice location
241 W. Southlake Blvd., Suite 140
Southlake, TX 76092
Fax (817) 580-7891
Mailing address
PO Box 470606
Fort Worth, TX 76147-0606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | None listed |
| Chiropractor | 111N00000X | None listed |
| Neuromuscular Medicine (Psychiatry & Neurology) Physician | 2084N0008X | None listed |
| Neurology Physician | 2084N0400X | None listed |
| Clinical Neurophysiology Physician | 2084N0600X | None listed |
| Brain Injury Medicine (Psychiatry & Neurology) Physician | 2084P0301X | None listed |
| Massage Therapist | 225700000X | None listed |
| Multi-Specialty Clinic/Center Primary | 261QM1300X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Multi-Specialty Clinic/Center: Definition to come...
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About NPI 1952958274
North Texas Brain and Wellness, Inc.'s National Provider Identifier is 1952958274, issued on Aug 21, 2019. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Southlake, TX. The record was last updated on Jul 12, 2021.