MEDICARE: WHOLE HEALTH PROFESSIONAL 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	261QM1300X	Multi-Specialty Clinic/Center
2	251B00000X	Case Management Agency
3	103TP0016X	Prescribing (Medical) Psychologist	Q3834	TX

General Provider Information

NPI Number	:	1760939409
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WHOLE HEALTH PROFESSIONAL LLC

Provider Business Mailing Address
First Line	:	6100 CORPORATE DR STE 3A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3419
Country	:	US
Telephone Number	:	832-831-3183
Fax Number	:	866-666-7216

Provider Business Practice Location Address
First Line	:	6100 CORPORATE DR STE 3A
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-3419
Country	:	US
Telephone Number	:	832-831-3183
Fax Number	:	866-666-7216

Authorized Official
Title or Position	:	MD
Name	:	DR. HUIPING XU
Credential	:
Telephone Number	:	832-659-9389

Provider Enumeration Date	:	09/09/2016
Last Update Date	:	04/08/2026

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Directions to “WHOLE HEALTH PROFESSIONAL LLC ” Practice Location

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