Healthcare Provider Details

I. General information

NPI: 1881560613
Provider Name (Legal Business Name): SEVA WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2025
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14110 DALLAS PKWY STE 170
DALLAS TX
75254-1367
US

IV. Provider business mailing address

14110 DALLAS PKWY STE 170
DALLAS TX
75254-1367
US

V. Phone/Fax

Practice location:
  • Phone: 833-870-0904
  • Fax:
Mailing address:
  • Phone: 833-870-0904
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2083P0011X
TaxonomyUndersea and Hyperbaric Medicine (Preventive Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code163WW0000X
TaxonomyWound Care Registered Nurse
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL ZANN MCMAHAN
Title or Position: OWNER
Credential: MD
Phone: 833-870-0904