OrganizationActive
R2 Well Practice Management
NPI 1235643149 · Public Health & General Preventive Medicine Physician · Euless, TX
Provider details
- NPI number
- 1235643149
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Johnette Van Eeden, Ceo(817) 571-6505
- License
- G0723 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
451 Westpark Way Ste 5
Euless, TX 76040-3703
Phone: (817) 571-6505
Street-level locationGet directions
Mailing address
451 Westpark Way Ste 5
Euless, TX 76040-3703
Registry dates
- Enumerated
- 2017-11-30
- Last updated
- 2017-11-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.