AGRARIAN WELLNESS LLC NPI 1174035778

NPI Information

  • NPI: 1174035778
  • Provider Name: AGRARIAN WELLNESS, LLC
  • Classification: Nurse Practitioner - 363LW0102X
  • Specialization: Women's Health
  • Entity Type: Organization
  • Address: 17000 EL CAMINO REAL STE 209
    HOUSTON, TX
    ZIP 77058
  • Phone: (832) 284-4328

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NPI Details

AGRARIAN WELLNESS, LLC is a women's health nurse practitioner in Houston, TX. AGRARIAN WELLNESS, LLC NPI is 1174035778. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

17000 EL CAMINO REAL STE 209
HOUSTON, TX
ZIP 77058
Phone: (832) 284-4328
Fax: (832) 284-4728

The provider's authorized official is Latia Hickerson .
The authorized official title is Owner and has the following contact phone number (832) 930-6345.

The enumeration date for this NPI number is 11/4/2017 and was last updated on 6/6/2018.

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
1163WL0100XRegistered NurseLactation ConsultantNo
2363LW0102XNurse PractitionerWomen's HealthTEXASYes

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: 11/21/2025

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