MY VITA WOMEN S WELLNESS CENTER PLLC NPI 1366913980

NPI Information

NPI: 1366913980
Provider Name: MY VITA WOMEN S WELLNESS CENTER PLLC

Doing Business As: VENUS RESTORATIVE HEALTH AND WELLNESS

Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
926 N WILCREST DR
HOUSTON, TX
ZIP 77079
Phone: (713) 623-1414
Get Directions

MY VITA WOMEN S WELLNESS CENTER PLLC is a primary care clinic center in Houston, TX. MY VITA WOMEN S WELLNESS CENTER PLLC NPI is 1366913980. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Venus Restorative Health And Wellness.

The provider's business location address is:

926 N WILCREST DR
HOUSTON, TX
ZIP 77079-504
Phone: (713) 623-1414
Fax: (713) 324-0550

The provider's authorized official is Marcel D Thompson .
The authorized official title is Provider/owner and has the following contact phone number (713) 623-1414.

The CLIA number assigned to this NPI record is 45D2145739 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/7/2018 and was last updated on 4/3/2024.

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	Primary
1	207V00000X	Obstetrics & Gynecology		No
2	261Q00000X	Clinic/Center		No
3	261QP2300X	Clinic/Center	Primary Care	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	353338203	MEDICAID	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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