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GRAND PRAIRIE WELLNESS CTR
NPI 1568475366
Family Medicine in Grand Prairie, TX

Active since August 14, 2006
1710 SMALL ST, GRAND PRAIRIE, TX 75050(972) 266-9123(972) 266-7383 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Grand Prairie Wellness Ctr NPPES

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

GRAND PRAIRIE WELLNESS CTR (NPI 1568475366) is a healthcare organization registered as a family medicine in Grand Prairie, Texas and active in the NPI registry since August 2006. The organization lists Chuck Poffenbarger, President, as its authorized official.

NPPES Registry Identity

NPI1568475366
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGRAND PRAIRIE WELLNESS CTR
Location Address1710 SMALL STGrand Prairie, TX 75050-6041
Mailing Address1710 Small StGrand Prairie, TX 75050-6041 · (972) 266-9123 · Fax (972) 266-7383
Phone(972) 266-9123
Fax(972) 266-7383
Organization SubpartNo
Authorized OfficialChuck PoffenbargerPresident · (972) 266-9123
Enumeration DateAugust 14, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1568475366 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.
1710 SMALL ST, Grand Prairie, TX 75050
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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

Other Providers at the Same Location NPPES

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

DR. GLEN BRUCE HAKE JR. D.C.
Chiropractor
1710 SMALL ST
GRAND PRAIRIE, TX 75050
Dallas County (972) 266-9123

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 Grand Prairie Wellness Ctr's NPI number?

The NPI number for Grand Prairie Wellness Ctr is 1568475366. It was assigned to this organization in the NPPES registry on August 14, 2006.

Where is Grand Prairie Wellness Ctr located?

Grand Prairie Wellness Ctr is located at 1710 Small St, Grand Prairie, TX 75050. The listed phone number is (972) 266-9123.

What is Grand Prairie Wellness Ctr's specialty?

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

When was this NPI record last updated?

The NPPES record for Grand Prairie Wellness Ctr was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.