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WELLCARE FAMILY CLINIC, INC.
NPI 1114481561
Clinic/Center in Dallas, TX

Active since January 29, 2019CLIA 45D2227863 · Waiver
18110 MIDWAY RD STE 136, DALLAS, TX 75287(214) 613-6009(214) 613-6002 Get Directions Write a Review

NPPES record last updated: April 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 11, 2022, Jun 15, 2021, Mar 5, 2020 and 1 more (4 updates tracked since 2019).

About Wellcare Family Clinic, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WELLCARE FAMILY CLINIC, INC. (NPI 1114481561) is a healthcare organization registered as a clinic/center in Dallas, Texas and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through June 16, 2027, maintains a secondary practice location in Fairview, and lists Godling Obi Onyegbunwa, Administrator, as its authorized official.

NPPES Registry Identity

NPI1114481561
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWELLCARE FAMILY CLINIC, INC.
Location Address18110 MIDWAY RD STE 136Dallas, TX 75287-6632
Mailing Address18110 Midway Rd Ste 136Dallas, TX 75287-6632 · (972) 704-5550
Phone(214) 613-6009
Fax(214) 613-6002
Organization SubpartNo
Authorized OfficialGodling Obi OnyegbunwaAdministrator · (972) 704-5550
Enumeration DateJanuary 29, 2019
Last NPPES UpdateApril 11, 20224 updates tracked since enumeration
NPPES CertifiedOctober 19, 2021
✔ NPI 1114481561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
18110 MIDWAY RD STE 136, Dallas, TX 75287
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Secondary Practice Location 1

Location 1321 Palo Duro DrFairview, TX 75069-1286 · Phone (972) 704-5550

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2227863

Wellcare Family Clinic Inc · Dallas, TX
Active · expires Jun 16, 2027
CLIA Number45D2227863
Laboratory TypePractitioner Other
Certificate Effective DateJune 17, 2025
Certificate Expiration DateJune 16, 2027
Laboratory DirectorGodling O. Onyegbunwa
Laboratory Phone(972) 863-8412
Laboratory LocationWellcare Family Clinic Inc18110 Midway Rd Ste 136, Dallas, TX 75287
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GODLING OBI ONYEGBUNWA NP
Nurse Practitioner (Family)
18110 MIDWAY RD STE 136
DALLAS, TX 75287
Collin County (972) 704-5550
MRS. LILLIAN BOSE ONYEGBUNWA FNP
Nurse Practitioner (Family)
18110 MIDWAY RD STE 136
DALLAS, TX 75287
Collin County (214) 613-6009

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wellcare Family Clinic, Inc.'s NPI number?

The NPI number for Wellcare Family Clinic, Inc. is 1114481561. It was assigned to this organization in the NPPES registry on January 29, 2019.

Where is Wellcare Family Clinic, Inc. located?

Wellcare Family Clinic, Inc. is located at 18110 Midway Rd Ste 136, Dallas, TX 75287. The listed phone number is (214) 613-6009.

What is Wellcare Family Clinic, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Wellcare Family Clinic, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2227863) is associated with this NPI, valid through June 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wellcare Family Clinic, Inc. was last updated on April 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.