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General NPI Number Information
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NPI Number | 1104520709
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Entity Type | Organization
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Legal Business Name | TEXAS WELLNESS GROUP LLC
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Dates
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Enumeration Date | 03/28/2023
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 9000 SOUTHWEST FWY STE 260
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City | HOUSTON
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State | TX
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Zip | 77074-1520
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Country | US
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Telephone | 832-532-3276
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Fax | 832-532-2028
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Provider Business Mailing Address
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Address Line | 9000 SOUTHWEST FWY STE 260
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City | HOUSTON
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State | TX
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Zip | 77074-1520
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Country | US
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Telephone | 832-532-3276
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Fax | 832-532-2028
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Authorized Official
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Title or Position | BUSINESS PARTNER
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Name | MUHAMMAD FAROOQ
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Credential |
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Telephone | 713-820-2089
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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