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NPI Code Detail

MEDICARE: 180 WELLNESS PLLC

MEDICARE: 180 WELLNESS PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1972368363
Entity Type Code : Organization
Provider Name (Legal Business Name) : 180 WELLNESS PLLC
Provider Business Mailing Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 214-773-1040
Fax Number :
Provider Business Practice Location Address
First Line : 17754 PRESTON RD STE 100
Second Line :
City : DALLAS
State : TX
Zip : 75252-5638
Country : US
Telephone Number : 214-773-1040
Fax Number :
Authorized Official
Title or Position : DOCTOR
Name : ADALIE SCHMIDT
Credential : DC
Telephone Number : 817-219-7808
Provider Enumeration Date : 02/15/2024
Last Update Date : 02/04/2026

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Directions to “180 WELLNESS PLLC ” Practice Location

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