THRIVE PHYSIO AND WELLNESS, PLLC
Clinic/Center

Address: 7173 Gaston Ave Apt 1305, Dallas, TX 75214-6134

THRIVE PHYSIO AND WELLNESS, PLLC (NPI# 1124600440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124600440
Entity Type Organization
Organization Name THRIVE PHYSIO AND WELLNESS, PLLC
Practice Address 7173 Gaston Ave Apt 1305
Dallas
TX 75214-6134
Practice Telephone 2143081698
Mailing Address 7173 Gaston Ave Apt 1305
Dallas
TX 75214-6134
Mailing Telephone 2143081698
Certification Date 2021-04-26
Enumeration Date 2021-04-26
Last Update Date 2021-04-26
Authorized Official Telephone 2143081698
Authorized Official Credential DPT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 7173 GASTON AVE APT 1305
City DALLAS
State TX
Zip Code 75214-6134

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.