Healthcare Provider Details

I. General information

NPI: 1316865249
Provider Name (Legal Business Name): METAMORPHOSIS SPINE AND SPORT WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6201 BONHOMME RD STE 362N
HOUSTON TX
77036-4424
US

IV. Provider business mailing address

2614 MILL CREEK DR
PASADENA TX
77503-1122
US

V. Phone/Fax

Practice location:
  • Phone: 405-441-0266
  • Fax:
Mailing address:
  • Phone: 405-441-0266
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. MALACHI SERAPHIN-WILLIAMS
Title or Position: OWNER/CHIROPRACTOR
Credential: D.C.
Phone: 405-441-0266