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GLC WELLNESS CENTER TEXAS LLC
NPI 1700433653
General Practice in Duncanville, TX

Active since August 23, 2019CLIA 45D2282762 · Waiver
777 E WHEATLAND RD STE 106, DUNCANVILLE, TX 75116(702) 587-8106(972) 685-5108 Get Directions Write a Review

NPPES record last updated: June 30, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2022, Jan 15, 2020, Aug 23, 2019 (3 updates tracked since 2019).

About Glc Wellness Center Texas Llc NPPES

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

GLC WELLNESS CENTER TEXAS LLC (NPI 1700433653) is a healthcare organization registered as a general practice in Duncanville, Texas and active in the NPI registry since August 2019. The organization holds a CLIA Waiver certificate valid through May 24, 2027 and lists Dante Young, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700433653
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameGLC WELLNESS CENTER TEXAS LLC
Location Address777 E WHEATLAND RD STE 106Duncanville, TX 75116-4918
Mailing Address777 E Wheatland Rd Ste 106Duncanville, TX 75116-4918 · (702) 587-8106 · Fax (972) 685-5108
Phone(702) 587-8106
Fax(972) 685-5108
Organization SubpartNo
Authorized OfficialDante YoungCeo · (702) 587-8106
Enumeration DateAugust 23, 2019
Last NPPES UpdateJune 30, 20233 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1700433653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
777 E WHEATLAND RD STE 106, Duncanville, TX 75116
Open in Google Maps ↗

Other Identifiers 4

Medicaid405039501TX
Medicaid455039503TX
Medicaid405039504TX
Medicaid405039502TX

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

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 45D2282762

Glc Wellness Center Texas LLC · Duncanville, TX
Active · expires May 24, 2027
CLIA Number45D2282762
Laboratory TypePhysician Office
Certificate Effective DateMay 25, 2025
Certificate Expiration DateMay 24, 2027
Laboratory DirectorDralves Edwards
Laboratory Phone(972) 685-5094
Laboratory LocationGlc Wellness Center Texas LLC777 E Wheatland Rd Suite 106, Duncanville, TX 75116
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.

DR. DRALVES G EDWARDS DO
General Practice
777 E WHEATLAND RD STE 106
DUNCANVILLE, TX 75116
Dallas County (972) 685-5094
MRS. ANGELICA TORRES YRIGOLLEN FNP-BC
Nurse Practitioner (Family)
777 E WHEATLAND RD STE 106
DUNCANVILLE, TX 75116
Dallas County (972) 685-5094

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 Glc Wellness Center Texas LLC's NPI number?

The NPI number for Glc Wellness Center Texas LLC is 1700433653. It was assigned to this organization in the NPPES registry on August 23, 2019.

Where is Glc Wellness Center Texas LLC located?

Glc Wellness Center Texas LLC is located at 777 E Wheatland Rd Ste 106, Duncanville, TX 75116. The listed phone number is (702) 587-8106.

What is Glc Wellness Center Texas LLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Glc Wellness Center Texas LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2282762) is associated with this NPI, valid through May 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glc Wellness Center Texas LLC accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Glc Wellness Center Texas LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glc Wellness Center Texas LLC was last updated on June 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.