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NPI Code Detail

MEDICARE: HOUSTON AYURVEDA HEALING CENTER LLC

MEDICARE: HOUSTON AYURVEDA HEALING CENTER LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor
2202D00000XIntegrative Medicine Physician
3364SH1100XHolistic Clinical Nurse Specialist
4225700000XMassage Therapist

General Provider Information

NPI Number : 1003765611
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOUSTON AYURVEDA HEALING CENTER LLC
Provider Business Mailing Address
First Line : 12280 BROADWAY ST STE 3121
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7868
Country : US
Telephone Number : 713-623-0005
Fax Number :
Provider Business Practice Location Address
First Line : 12280 BROADWAY ST STE 3121
Second Line :
City : PEARLAND
State : TX
Zip : 77584-7868
Country : US
Telephone Number : 713-623-0005
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : GORAL TRIVEDI
Credential :
Telephone Number : 919-308-6092
Provider Enumeration Date : 01/26/2026
Last Update Date : 01/26/2026

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Directions to “HOUSTON AYURVEDA HEALING CENTER LLC ” Practice Location

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