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

Old Corner Wellness Inc

Organization Clinic/Center · NPI 1003514597

Old Corner Wellness Inc is a Clinic/Center in West, Texas. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

200 N Main St
West, TX 76691-1207
Phone: (254) 826-5122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1003514597
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Randy Niemeyer — Owner · (254) 826-5122
NPI enumeratedFebruary 23, 2023
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address200 N Main St, West, TX 76691-1207

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