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General NPI Number Information
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NPI Number | 1174430219
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Entity Type | Organization
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Legal Business Name | WELLNESS WINGS INC.
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 1518 FM 2001 NO. 15801
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City | BUDA
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State | TX
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Zip | 78610
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Country | US
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Telephone | 215-774-3527
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Fax |
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Provider Business Mailing Address
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Address Line | 1910 PACIFIC AVE STE 2000
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City | DALLAS
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State | TX
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Zip | 75201-4540
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JACQUILINE MEDINA
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Credential |
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Telephone | 215-774-3527
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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