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TOTAL WELLNESS FAMILY CLINIC LLC NPI 1447724315


NPI Information

NPI: 1447724315
Provider Name: TOTAL WELLNESS FAMILY CLINIC, LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 45D2152416

Address:
2384 S DAIRY ASHFORD RD
HOUSTON, TX
ZIP 77077
Phone: (832) 243-6104
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TOTAL WELLNESS FAMILY CLINIC, LLC is a primary care clinic center in Houston, TX. TOTAL WELLNESS FAMILY CLINIC, LLC NPI is 1447724315. The provider is registered as an organization entity type.

The provider's business location address is:

2384 S DAIRY ASHFORD RD
HOUSTON, TX
ZIP 77077-739
Phone: (832) 243-6104
Fax: (832) 917-0926

The provider's authorized official is Francine Nosworthy .
The authorized official title is Owner and has the following contact phone number (832) 243-6104.

The CLIA number assigned to this NPI record is 45D2152416 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/14/2019 and was last updated on 1/16/2019.


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
1261QP2300XClinic/CenterPrimary CareYes

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
11083088090OTHERTEXASNPI

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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