Healthcare Provider Details

I. General information

NPI: 1972368363
Provider Name (Legal Business Name): 180 WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17754 PRESTON RD STE 100
DALLAS TX
75252-5638
US

IV. Provider business mailing address

17754 PRESTON RD STE 100
DALLAS TX
75252-5638
US

V. Phone/Fax

Practice location:
  • Phone: 214-773-1040
  • Fax:
Mailing address:
  • Phone: 214-773-1040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: ADALIE SCHMIDT
Title or Position: DOCTOR
Credential: DC
Phone: 817-219-7808