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HEALTHCO EXECUTIVE WELLNESS PLLC
NPI 1578403184
General Practice in Dallas, TX

Active since March 31, 2026
1401 W JEFFERSON BLVD, DALLAS, TX 75208(469) 708-7454 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Healthco Executive Wellness Pllc NPPES

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

HEALTHCO EXECUTIVE WELLNESS PLLC (NPI 1578403184) is a healthcare organization registered as a general practice in Dallas, Texas and active in the NPI registry since March 2026. The organization lists Nenna Nwazota, Md, as its authorized official.

NPPES Registry Identity

NPI1578403184
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameHEALTHCO EXECUTIVE WELLNESS PLLC
Location Address1401 W JEFFERSON BLVDDallas, TX 75208-5326
Mailing Address1401 W Jefferson BlvdDallas, TX 75208-5326
Phone(469) 708-7454
Organization SubpartYesParent: Caine Holdings Llc
Authorized OfficialNenna NwazotaMd · (469) 708-7454
Enumeration DateMarch 31, 2026
Last NPPES UpdateApril 1, 2026
NPPES CertifiedApril 1, 2026
✔ NPI 1578403184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

1401 W JEFFERSON BLVD, Dallas, TX 75208
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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 4

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

BRUCE E. WARDLE', D.O, P.A.
Family Medicine
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 941-9200
BRUCE EDWARD WARDLAY D.O.
Family Medicine
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 941-9200
DENA BRELSFORD PA
Physician Assistant
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 941-9200
DALLAS VETERANS AFFAIRS MEDICAL CENTER
General Acute Care Hospital
1401 W JEFFERSON BLVD
DALLAS, TX 75208
Dallas County (214) 415-3804

Frequently Asked Questions

What is HEALTHCO EXECUTIVE WELLNESS PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1578403184, enumerated as an "organization" on March 31, 2026.

Where is the provider located?

The provider is located at 1401 W JEFFERSON BLVD DALLAS, TX 75208 and the phone number is (469) 708-7454.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.