Healthcare Provider Details

I. General information

NPI: 1750577375
Provider Name (Legal Business Name): THE WELLNESS ASSOCIATES OF HOUSTON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2007
Last Update Date: 09/18/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 BENMAR DR STE 2230
HOUSTON TX
77060-3169
US

IV. Provider business mailing address

440 BENMAR DR STE 2230
HOUSTON TX
77060-3169
US

V. Phone/Fax

Practice location:
  • Phone: 281-999-5220
  • Fax:
Mailing address:
  • Phone: 281-999-5220
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MRS. MICHELLE MOUTON
Title or Position: DIRECTOR
Credential:
Phone: 281-999-5220