WELLNESS ASSOCIATES OF KATY LLC NPI 1174762561

NPI Information

NPI: 1174762561
Provider Name: WELLNESS ASSOCIATES OF KATY, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
777 S FRY RD
SUITE 105
KATY, TX
ZIP 77450
Phone: (281) 647-9950
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WELLNESS ASSOCIATES OF KATY, LLC is a primary care clinic center in Katy, TX. WELLNESS ASSOCIATES OF KATY, LLC NPI is 1174762561. The provider is registered as an organization entity type.

The provider's business location address is:

777 S FRY RD
SUITE 105
KATY, TX
ZIP 77450-244
Phone: (281) 647-9950
Fax: (281) 647-9960

The provider's authorized official is Arlene M Loeschen .
The authorized official title is Llc Member and has the following contact phone number (281) 647-9950.

The enumeration date for this NPI number is 2/9/2009 and was last updated on 1/30/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	578962	TEXAS	No
2	261QP2300X	Clinic/Center	Primary Care	J9021	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P12936	MEDICARE UPIN	TEXAS
2	G18595	MEDICARE UPIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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