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MW WELLNESS V, LLC
NPI 1528506730
Family Medicine in Southlake, TX

Active since February 08, 2017CLIA 45D2070058 · Waiver
1125 DAVIS BLVD STE 100, SOUTHLAKE, TX 76092(817) 488-1956(817) 488-8675 Get Directions Write a Review

NPPES record last updated: March 14, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 14, 2018, Feb 8, 2017 (2 updates tracked since 2017).

About Mw Wellness V, Llc NPPES

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

MW WELLNESS V, LLC (NPI 1528506730) is a healthcare organization registered as a family medicine in Southlake, Texas and active in the NPI registry since February 2017. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Wendie Nonclerc, Director Of Insurance Development, as its authorized official.

NPPES Registry Identity

NPI1528506730
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMW WELLNESS V, LLC
Location Address1125 DAVIS BLVD STE 100Southlake, TX 76092-8256
Mailing Address1125 Davis Blvd Ste 100Southlake, TX 76092-8256 · (817) 488-1956 · Fax (817) 488-8675
Phone(817) 488-1956
Fax(817) 488-8675
Organization SubpartNo
Authorized OfficialWendie NonclercDirector Of Insurance Development · (813) 228-6334
Enumeration DateFebruary 8, 2017
Last NPPES UpdateMarch 14, 20182 updates tracked since enumeration
✔ NPI 1528506730 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.
1125 DAVIS BLVD STE 100, Southlake, TX 76092
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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

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 45D2070058

Mw Wellness V, LLC · Southlake, TX
Active · expires Dec 9, 2027
CLIA Number45D2070058
Laboratory TypePhysician Office
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorChris Guy Yiantsou
Laboratory Phone(817) 488-1956
Laboratory LocationMw Wellness V, LLC1125 Davis Blvd Suite 100, Southlake, TX 76092
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

GREEN HILLS ASSOCIATES PLLC
Family Medicine
1125 DAVIS BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 488-1956
VITALITY HEALTH PARTNERS PLLC
Family Medicine
1125 DAVIS BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 488-1956
STEPHANIE SWANSON NP
Nurse Practitioner (Family)
1125 DAVIS BLVD STE 100
SOUTHLAKE, TX 76092
Tarrant County (817) 488-1956

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 V, LLC's NPI number?

The NPI number for Mw Wellness V, LLC is 1528506730. It was assigned to this organization in the NPPES registry on February 8, 2017.

Where is Mw Wellness V, LLC located?

Mw Wellness V, LLC is located at 1125 Davis Blvd Ste 100, Southlake, TX 76092. The listed phone number is (817) 488-1956.

What is Mw Wellness V, LLC's specialty?

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

Does Mw Wellness V, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2070058) is associated with this NPI, valid through December 9, 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 Mw Wellness V, LLC was last updated on March 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.