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

Prodigy Wellness PLLC

Organization Specialist · NPI 1780043695

Prodigy Wellness PLLC is a Specialist in Frisco, Texas. Licensed in Texas. Registered with an NPI since 2016.

Licensed in
TX
In the registry since
2016
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

4040 Legacy Dr Ste 204
Frisco, TX 75034-6748
Phone: (585) 978-0796
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence Q6046 (TX)

Record details

NPI number1780043695
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samad Khan — Owner · (585) 978-0796
NPI enumeratedFebruary 19, 2016
Last updated in NPPESFebruary 19, 2016
Mailing address4040 Legacy Dr, Suite 204, Frisco, TX 75034-6748

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