Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Formula Wellness PLLC

Organization Anesthesiology Physician · NPI 1346608536

Formula Wellness PLLC is an Anesthesiology Physician in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
Specialties on file
3
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4342 Lovers Ln
Dallas, TX 75225-6921
Phone: (214) 931-9443
Fax: (214) 602-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence K1038 (TX)
Anesthesiology Physician Taxonomy 207L00000X · Licence K1038 (TX)
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1346608536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Rudman — Physician/Owner · (214) 931-9443
NPI enumeratedFebruary 3, 2016
Last updated in NPPESJuly 21, 2022
Mailing address4342 Lovers Ln, Dallas, TX 75225-6921

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