Healthcare Provider Details
I. General information
NPI: 1902700065
Provider Name (Legal Business Name): FINE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/05/2026
Last Update Date: 10/05/2026
Certification Date: 10/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3244 MERIDIANA PKWY STE 600
ROSHARON TX
77583-4872
US
IV. Provider business mailing address
3244 MERIDIANA PKWY STE 600
ROSHARON TX
77583-4872
US
V. Phone/Fax
- Phone: 346-552-1951
- Fax:
- Phone: 346-552-1951
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KELLY
ANGLIN-POINDEXTER
Title or Position: OWNER
Credential: NP-C
Phone: 346-552-1951