Advanced Life Wellness Institute
Health Maintenance Organization in Houston, TX. Organization (NPI-2).
NPI number1215273255
StatusActive
Last updated in NPPESDec 19, 2012
Details
- NPI
- 1215273255
- Entity type
- Organization (NPI-2)
- Legal business name
- Advanced Life Wellness Institute
- Organization subpart
- No
- Enumeration date
- Dec 19, 2012
- Last updated
- Dec 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 302R00000X | Health Maintenance Organization | G7070 | TX | Yes |
| 302R00000X | Health Maintenance Organization | F9771 | TX |
Other names
- Alwii (Other Name)
Practice location
1917 Ashland St Ste 2888Houston, TX 77008-3907
Phone 713-802-2883 · Fax 186-676-0055
Mailing address
1917 Ashland St Ste 2888Houston, TX 77008-3907
Phone 713-802-2883 · Fax 186-676-0055
Authorized official
Michelle Luong
Director
7138022883
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