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COMMUNITY WELLNESS CLINIC LLP NPI 1902269715


NPI Information

NPI: 1902269715
Provider Name: COMMUNITY WELLNESS CLINIC, LLP

Other Name: COMMUNITY WELLNESS CLINIC FAMILY PLANNING SERVICES CLINIC

Classification: Clinic/Center - 261QA0005X
Entity Type: Organization

Specialization: Ambulatory Family Planning Facility

Address:
201 ENTERPRISE ROW
SUITE 12
CONROE, TX
ZIP 77301
Phone: (936) 760-2784
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COMMUNITY WELLNESS CLINIC, LLP is an ambulatory family planning facility clinic center in Conroe, TX. The provider is an abortion/family planning facility where services are provided at a fixed specific location. An Ambulatory Family Planning Facility does not provide overnight accommodations. The following procedures may be performed at an Ambulatory Family Planning Facility: abortions, laproscopy, hysterectomies, tubule ligation and other related procedures. Abortion is considered voluntary termination of pregnancy. COMMUNITY WELLNESS CLINIC, LLP NPI is 1902269715. The provider is registered as an organization entity type.
The provider Other Name Is Community Wellness Clinic Family Planning Services Clinic.

The provider's business location address is:

201 ENTERPRISE ROW
SUITE 12
CONROE, TX
ZIP 77301-448
Phone: (936) 760-2784
Fax: (936) 760-1950

The provider's authorized official is Kerry Gregory .
The authorized official title is Vice-president and has the following contact phone number (936) 760-2797.

The enumeration date for this NPI number is 3/30/2016 and was last updated on 8/17/2020.


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
1261QA0005XClinic/CenterAmbulatory Family Planning FacilityYes

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
1018986205MEDICAIDTEXAS

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

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