Havilah Medical And Wellness LLC
Internal Medicine in Katy, TX. Organization (NPI-2).
NPI number1043045768
StatusActive
Last updated in NPPESMay 12, 2025
Details
- NPI
- 1043045768
- Entity type
- Organization (NPI-2)
- Legal business name
- Havilah Medical And Wellness LLC
- Organization subpart
- No
- Enumeration date
- Sep 3, 2024
- Certification date
- May 12, 2025
- Last updated
- May 12, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | – | – | Yes |
Practice location
440 Cobia Dr Ste 701Katy, TX 77494-6892
Phone 317-457-1668
Mailing address
24303 Oasis Bend DrKaty, TX 77493-3851
Authorized official
Magdelene Amoateng
Owner
3174571668
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