Kingwood Health And Wellness
Clinic/Center, Medical Specialty in Kingwood, TX. Organization (NPI-2).
NPI number1366891749
StatusActive
Last updated in NPPESJun 7, 2016
Details
- NPI
- 1366891749
- Entity type
- Organization (NPI-2)
- Legal business name
- Kingwood Health And Wellness
- Organization subpart
- No
- Enumeration date
- Jun 7, 2016
- Last updated
- Jun 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM2500X | Clinic/Center, Medical Specialty | AP128724 | TX | Yes |
Practice location
1543 Green Oak PlKingwood, TX 77339-2007
Phone 281-852-1800
Mailing address
1543 Green Oak PlKingwood, TX 77339-2007
Authorized official
Jason Demattia
Medical Supervisor
2818521800
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