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NPI Code Detail

MEDICARE: THE PURSUIT OF WELLNESS

MEDICARE: THE PURSUIT OF WELLNESS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11744R1102XResearch Study Specialist
2207Q00000XFamily Medicine Physician
3363LC1500XCommunity Health Nurse Practitioner
4207VC0300XComplex Family Planning Physician

General Provider Information

NPI Number : 1134075526
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE PURSUIT OF WELLNESS
Provider Business Mailing Address
First Line : 6752 SAN ROQUE
Second Line :
City : IRVING
State : TX
Zip : 75039-3234
Country : US
Telephone Number : 312-788-7208
Fax Number : 205-727-1990
Provider Business Practice Location Address
First Line : 6752 SAN ROQUE
Second Line :
City : IRVING
State : TX
Zip : 75039-3234
Country : US
Telephone Number : 312-788-7208
Fax Number : 205-727-1990
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MS. ILIA J SMITH
Credential : APRN
Telephone Number : 312-788-7208
Provider Enumeration Date : 03/09/2026
Last Update Date : 03/09/2026

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Directions to “THE PURSUIT OF WELLNESS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.