Provider Demographics
NPI:1295274397
Name:PEOPLE'S WELLNESS CENTER
Entity type:Organization
Organization Name:PEOPLE'S WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:KIRK
Authorized Official - Last Name:MEYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHARMD,MS,CCN
Authorized Official - Phone:512-219-8600
Mailing Address - Street 1:13860 N US HIGHWAY 183 STE C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1203
Mailing Address - Country:US
Mailing Address - Phone:512-219-8600
Mailing Address - Fax:512-219-6770
Practice Address - Street 1:13860 N US HIGHWAY 183 STE C
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1203
Practice Address - Country:US
Practice Address - Phone:512-219-8600
Practice Address - Fax:512-219-6770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-22
Last Update Date:2017-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX387391835N1003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1835N1003XPharmacy Service ProvidersPharmacistNutrition SupportGroup - Multi-Specialty