NPI age
7 years
Enumerated 2019-05-10
● Active Type 2 · Organization
Wholelife Authentic Care Provider Network
Wholelife Authentic Care Provider Network is 1 of 2087 general practice organizations in Texas.
Primary specialty
General Practice
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Havrilla
Board President
Last NPPES update
2022-06-10
Source: monthly bulk 2026-05
How this organization compares
Across 2087 active general practice providers in Texas.
NPI age
7 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-05Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
1000 Bonnie Brae Ave Ste 120
Fort Worth, TX 761114301
Mailing address
Po Box 11043
Fort Worth, TX 761100043
Authorized official
Nicole Havrilla
Board President
📞 8062206455
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Kristi King, M.D. Obstetrics & Gynecology NPI 1740579150
Specialties
-
General Practice PrimaryA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
-
PediatricsA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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