MEDICARE: DECORUM INTEGRATED PRIMARY HEALTH CARE

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	363LP2300X	Primary Care Nurse Practitioner
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1811712037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DECORUM INTEGRATED PRIMARY HEALTH CARE

Provider Business Mailing Address
First Line	:	8300 BISSONNET ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3900
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8300 BISSONNET ST STE 318
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77074-3996
Country	:	US
Telephone Number	:	346-692-2273
Fax Number	:	346-692-2231

Authorized Official
Title or Position	:	OWNER
Name	:	KOU SARAH WEI
Credential	:	APN
Telephone Number	:	832-314-7744

Provider Enumeration Date	:	11/21/2024
Last Update Date	:	12/10/2025

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