MW WELLNESS VI, LLC
NPI 1124558861
Family Medicine in Frisco, TX

Active since June 15, 2017CLIA Certified · 2 labs
3500 VICTORY GROUP WAY STE 300, FRISCO, TX 75034(972) 381-9300(972) 381-9301 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 23, 2023, Jun 7, 2019, Dec 6, 2017 and 2 more (5 updates tracked since 2017).

About Mw Wellness Vi, Llc NPPES

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

MW WELLNESS VI, LLC (NPI 1124558861) is a healthcare organization registered as a family medicine in Frisco, Texas and active in the NPI registry since June 2017. The organization holds 2 active CLIA laboratory certificates and lists Jodi Despoy, Manager, as its authorized official.

NPPES Registry Identity

NPI1124558861
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMW WELLNESS VI, LLC
Location Address3500 VICTORY GROUP WAY STE 300Frisco, TX 75034-9567
Mailing Address3500 Victory Group Way Ste 300Frisco, TX 75034-9567 · (972) 381-9300 · Fax (972) 381-9301
Fax(972) 381-9301
Organization SubpartNo
Authorized OfficialJodi DespoyManager · (813) 228-6334
Enumeration DateJune 15, 2017
Last NPPES UpdateJune 23, 20235 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
NPI 1124558861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

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.

3500 VICTORY GROUP WAY STE 300, Frisco, TX 75034

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 45D2027816

Mw Wellness Vi, LLC · Frisco, TX
Active · expires Aug 1, 2027
CLIA Number45D2027816
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorChris Guy Yiantsou
Laboratory Phone(972) 381-9300
Laboratory LocationMw Wellness Vi, LLC3500 Victory Group Way Suite 300, Frisco, TX 75034
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 07D2151575

Mw Wellness Viii, LLC · Enfield, CT
Active · expires Jul 22, 2028
CLIA Number07D2151575
Laboratory TypePhysician Office
Certificate Effective DateJuly 23, 2026
Certificate Expiration DateJuly 22, 2028
Laboratory DirectorRenee Prince
Laboratory Phone(813) 228-6334
Laboratory LocationMw Wellness Viii, LLC155 Hazard Ave, Suite 2, Enfield, CT 06082
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

Family Medicine
3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
Nurse Practitioner (Family)
3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
Family Medicine
3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034
Nurse Practitioner (Family)
3500 VICTORY GROUP WAY STE 300
FRISCO, TX 75034

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 Mw Wellness Vi, LLC's NPI number?

The NPI number for Mw Wellness Vi, LLC is 1124558861. It was assigned to this organization in the NPPES registry on June 15, 2017.

Where is Mw Wellness Vi, LLC located?

Mw Wellness Vi, LLC is located at 3500 Victory Group Way Ste 300, Frisco, TX 75034. The listed phone number is (972) 381-9300.

What is Mw Wellness Vi, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Mw Wellness Vi, LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mw Wellness Vi, LLC was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.