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NPI 1275054868

NPI 1275054868 : NEXTGEN WELLNESS GROUP INC. : ARLINGTON, TX

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General NPI Number Information
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    NPI Number           |    1275054868
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEXTGEN WELLNESS GROUP INC. 
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Dates
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    Enumeration Date     |    07/05/2017
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    Last Update Date     |    10/22/2025
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Provider Practice Location Address
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    Address Line         |    801 ROAD TO SIX FLAGS W STE 146 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76012-2600
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    Country              |    US
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    Telephone            |    214-980-9400
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    Fax                  |    469-802-0070
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Provider Business Mailing Address
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    Address Line         |    801 ROAD TO SIX FLAGS W STE 146 
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    City                 |    ARLINGTON
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    State                |    TX
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    Zip                  |    76012-2600
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    Country              |    US
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    Telephone            |    214-980-9400
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    Fax                  |    469-802-0070
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Authorized Official
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    Title or Position    |    CREDENTIALING
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    Name                 |     JEFFERY  FRITZ 
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    Credential           |    MD
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    Telephone            |    214-980-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    225100000X
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    Taxonomy Name        |    Physical Therapist
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    111N00000X
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    Taxonomy Name        |    Chiropractor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    
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    License Number State |    
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