=====================================================
General NPI Number Information
=====================================================
NPI Number | 1114469228
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARADIGM WELLNESS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/08/2016
-----------------------------------------------------
Last Update Date | 02/19/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5366 MCARDLE RD STE 108
-----------------------------------------------------
City | CORPUS CHRISTI
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78411-3839
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-257-1194
-----------------------------------------------------
Fax | 361-266-3195
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5366 MCARDLE RD STE 104
-----------------------------------------------------
City | CORPUS CHRISTI
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78411-3840
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 361-257-1194
-----------------------------------------------------
Fax | 361-266-3195
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DEVIN MICHAEL MORENO
-----------------------------------------------------
Credential | L.AC
-----------------------------------------------------
Telephone | 361-257-1194
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC01724
-----------------------------------------------------
License Number State | TX
-----------------------------------------------------