ULTIMATE WELLNESS PROVIDERS CO NPI 1477215069

NPI Information

  • NPI: 1477215069
  • Provider Name: ULTIMATE WELLNESS PROVIDERS CO
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 4914 BISSONNET ST STE 101
    BELLAIRE, TX
    ZIP 77401
  • Phone: (877) 768-4897

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NPI Details

ULTIMATE WELLNESS PROVIDERS CO is a clinic center in Bellaire, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). ULTIMATE WELLNESS PROVIDERS CO NPI is 1477215069. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4914 BISSONNET ST STE 101
BELLAIRE, TX
ZIP 77401-047
Phone: (877) 768-4897
Fax: (832) 213-3075

The provider's authorized official is Lasonja Malone .
The authorized official title is Founder/ Ceo and has the following contact phone number (877) 768-4897.

The enumeration date for this NPI number is 10/11/2021 and was last updated on 10/11/2021.

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
1202C00000XIndependent Medical ExaminerNo
2251F00000XHome InfusionNo
3253Z00000XIn Home Supportive CareNo
4261QC1800XClinic/CenterCorporate HealthNo
5261QH0100XClinic/CenterHealth ServiceNo
6291U00000XClinical Medical LaboratoryNo
7261Q00000XClinic/CenterYes

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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