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1053921825 NPI number — CWC WELLNESS, PLLC

NPI Number: 1053921825
Health Care Provider/Practitioner: CWC WELLNESS, PLLC

Information about “1053921825” NPI (CWC WELLNESS, PLLC) exists in 1053921825 in HTML format HTML  |  1053921825 in plain Text format TXT  |  1053921825 in PDF (Portable Document Format) PDF  |  1053921825 in an XML format XML  formats.

NPI Number : 1053921825 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1053921825",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CWC WELLNESS, PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5526 N 10TH ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MCALLEN",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "78504-2713",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "956-254-7365",
    "MailingAddressFaxNumber": "956-720-0834",
    "FirstLinePracticeLocationAddress": "5526 N 10TH ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "MCALLEN",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "78504-2713",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "956-207-9824",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/05/2020",
    "LastUpdateDate": "09/17/2020",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "REYNA",
    "AuthorizedOfficialFirstName": "ALEXANDRA",
    "AuthorizedOfficialMiddleName": "PALACIOS",
    "AuthorizedOfficialTitle": "LICENSED PROFESSIONAL COUNSELOR",
    "AuthorizedOfficialNamePrefix": "MRS.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "LPC",
    "AuthorizedOfficialTelephoneNumber": "956-254-7365",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101YP2500X",
        "TaxonomyName": "Professional Counselor",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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