GLC WELLNESS CENTER TEXAS LLC – NPI #1700433653
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

GLC WELLNESS CENTER TEXAS LLC is a provider located in DUNCANVILLE, TX. NPPES has assigned the NPI number 1700433653 to GLC WELLNESS CENTER TEXAS LLC on August 23, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 3 years ago on Jun 30, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for GLC WELLNESS CENTER TEXAS LLC below.

NPI Profile for
GLC WELLNESS CENTER TEXAS LLC

NPI Number
1700433653
Enumeration Date

(about 7 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
GLC WELLNESS CENTER TEXAS LLC
Primary location
777 E WHEATLAND RD STE 106
DUNCANVILLE, TX 75116-4918
Phone: (702) 587-8106 Fax: (972) 685-5108
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DANTE YOUNG
CEO
Phone: (702) 587-8106
Updated
Certification Date
Jun 06, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for GLC WELLNESS CENTER TEXAS LLC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidTX405039502
medicaidTX405039504
medicaidTX405039501
medicaidTX455039503
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
101YM0800X
- Counselor / Mental Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
WWW.GLCWELLNESS.COM
Endpoint type
CONNECT URL
Endpoint Description
Content Type
Affiliation
N
Endpoint Location
1251 E RED BIRD LN STE A,
DALLAS, TX 77025-1669