Healthcare Provider Details

I. General information

NPI: 1740107986
Provider Name (Legal Business Name): WPRECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/30/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 RANDOLPH BLVD STE 102
LIVE OAK TX
78233-4222
US

IV. Provider business mailing address

11622 EL SENDERO ST
SAN ANTONIO TX
78233-6940
US

V. Phone/Fax

Practice location:
  • Phone: 210-840-0893
  • Fax:
Mailing address:
  • Phone: 210-840-0893
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TOD LEWIS MICHEL
Title or Position: CEO
Credential:
Phone: 210-840-0893