Provider Type Icon

ROCKPORT WELLNESS CENTER LLC NPI 1417398876


NPI Information

NPI: 1417398876
Provider Name: ROCKPORT WELLNESS CENTER, LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1521 W MARKET ST
SUITE D
ROCKPORT, TX
ZIP 78382
Phone: (361) 450-0347
Get Directions

ROCKPORT WELLNESS CENTER, LLC is a family medicine in Rockport, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. ROCKPORT WELLNESS CENTER, LLC NPI is 1417398876. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1521 W MARKET ST
SUITE D
ROCKPORT, TX
ZIP 78382-218
Phone: (361) 450-0347
Fax: (361) 450-0484

The provider's authorized official is Kimberly S. Maroney .
The authorized official title is Owner/physician and has the following contact phone number (361) 450-0347.

The enumeration date for this NPI number is 7/15/2013 and was last updated on 11/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineL1379TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.