Healthcare Provider Details

I. General information

NPI: 1851692396
Provider Name (Legal Business Name): WELLNOW HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2010
Last Update Date: 08/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 FM 517 RD W
DICKINSON TX
77539-3904
US

IV. Provider business mailing address

676 FM 517 RD W
DICKINSON TX
77539-3904
US

V. Phone/Fax

Practice location:
  • Phone: 281-218-7200
  • Fax: 281-218-7203
Mailing address:
  • Phone: 281-218-7200
  • Fax: 281-218-7203

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. GARY W SPANGLER JR.
Title or Position: DIRECTOR
Credential: MD
Phone: 281-218-7200