1. Home
  2. Directory
  3. Texas
  4. Frisco
  5. Specialist
  6. NPI Profile

PRODIGY WELLNESS PLLC
NPI 1780043695
Specialist in Frisco, TX

Active since February 19, 2016
4040 LEGACY DR, SUITE 204, FRISCO, TX 75034(585) 978-0796 Get Directions Write a Review

NPPES record last updated: February 19, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prodigy Wellness Pllc NPPES

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

PRODIGY WELLNESS PLLC (NPI 1780043695) is a healthcare organization registered as a specialist in Frisco, Texas and active in the NPI registry since February 2016. The organization lists Samad Khan, Owner, as its authorized official.

NPPES Registry Identity

NPI1780043695
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePRODIGY WELLNESS PLLC
Location Address4040 LEGACY DR, SUITE 204Frisco, TX 75034-6748
Mailing Address4040 Legacy Dr, Suite 204Frisco, TX 75034-6748 · (585) 978-0796
Phone(585) 978-0796
Organization SubpartNo
Authorized OfficialSamad KhanOwner · (585) 978-0796
Enumeration DateFebruary 19, 2016
✔ NPI 1780043695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · Q6046
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4040 LEGACY DR, Frisco, TX 75034
Open in Google Maps ↗

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 3

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

CAROL MARINO LPC
Counselor (Mental Health)
4040 LEGACY DR
FRISCO, TX 75034
Denton County (214) 641-9843
DR. MELISSA S. M. BELANGER MD
Pediatrics
4040 LEGACY DR, #201
FRISCO, TX 75034
Denton County (972) 668-6705
ARORA FAMILY CHIROPRACTIC,PLLC
Chiropractor
4040 LEGACY DR, SUITE # 203
FRISCO, TX 75034
Denton County (214) 476-1184

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 Prodigy Wellness PLLC's NPI number?

The NPI number for Prodigy Wellness PLLC is 1780043695. It was assigned to this organization in the NPPES registry on February 19, 2016.

Where is Prodigy Wellness PLLC located?

Prodigy Wellness PLLC is located at 4040 Legacy Dr Suite 204, Frisco, TX 75034. The listed phone number is (585) 978-0796.

What is Prodigy Wellness PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Prodigy Wellness PLLC was last updated on February 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.