Organization · NPI-2

Austin Connect To Wellness - Houston LLC

Clinic/Center · Katy, TX

NPI number1902642424
StatusActive
Last updated in NPPESJul 3, 2024

Details

NPI
1902642424
Entity type
Organization (NPI-2)
Legal business name
Austin Connect To Wellness - Houston LLC
Organization subpart
No
Enumeration date
Jul 3, 2024
Certification date
Jul 3, 2024
Last updated
Jul 3, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

21765 Merchants Way
Katy, TX 77449-2511

Phone 512-898-9044

Mailing address

Po Box 151716
Austin, TX 78715-1716

Phone 512-898-9044

Authorized official

Jessie Smedley
Chief Executive Officer
5128989044

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