Organization · Type 2 NPI

Providence Wellness Inc

Clinic/Center · Houston, TX

NPI number 1790061315 Active

Practice location

13155 Westheimer Rd Ste 133
Houston, TX 77077-5529

Fax (281) 920-0263

Mailing address

13155 Westheimer Road, Suite #133
Houston, TX 77077

Other practice locations

  • 9898 Bissonnet St Ste 350, Houston, TX 77036-8025 · (281) 920-0344

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X801287323 (TX)
Adult Health Nurse Practitioner 363LA2200XNone listed

Clinic/Center: 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).

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About NPI 1790061315

Providence Wellness Inc's National Provider Identifier is 1790061315, issued on Oct 27, 2011. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Houston, TX. The record was last updated on May 13, 2024.