THE WELLNESS MANAGEMENT GROUP NPI 1962648006

NPI Information

NPI: 1962648006
Provider Name: THE WELLNESS MANAGEMENT GROUP
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2404 CAROLINE ST
HOUSTON, TX
ZIP 77004
Phone: (713) 524-4803
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THE WELLNESS MANAGEMENT GROUP is a general practice in Houston, TX. THE WELLNESS MANAGEMENT GROUP NPI is 1962648006. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2404 CAROLINE ST
HOUSTON, TX
ZIP 77004-016
Phone: (713) 524-4803
Fax: (713) 524-4801

The provider's authorized official is Lamont Ratcliff .
The authorized official title is Director and has the following contact phone number (713) 524-4803.

The enumeration date for this NPI number is 12/19/2008 and was last updated on 1/5/2009.

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	207Q00000X	Family Medicine		G7943	TEXAS	No
2	208100000X	Physical Medicine & Rehabilitation		G7943	TEXAS	No
3	2085R0202X	Radiology	Diagnostic Radiology	G7943	TEXAS	No
4	208D00000X	General Practice		G7943	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	129726905	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: 11/14/2023

NPI Synchronization or Removal

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