MEDICARE: EXAMINE WELL, 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
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1356012314
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EXAMINE WELL, LLC

Provider Business Mailing Address
First Line	:	PO BOX 451494
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77245-1494
Country	:	US
Telephone Number	:	713-667-9355
Fax Number	:	713-723-1779

Provider Business Practice Location Address
First Line	:	12401 S POST OAK RD STE 217
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-2021
Country	:	US
Telephone Number	:	832-534-0707
Fax Number	:	713-723-1779

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. KELLEY SAMUEL
Credential	:
Telephone Number	:	713-667-9355

Provider Enumeration Date	:	09/21/2021
Last Update Date	:	09/21/2021

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Directions to “EXAMINE WELL, LLC ” Practice Location

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