=====================================================
General NPI Number Information
=====================================================
NPI Number | 1396688313
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WPH CLINIC PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 04/13/2026
-----------------------------------------------------
Last Update Date | 04/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2715 N MASON RD STE A
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77449-8057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 281-466-4644
-----------------------------------------------------
Fax | 281-419-1624
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2715 N MASON RD STE A
-----------------------------------------------------
City | KATY
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 77449-8057
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 346-574-1020
-----------------------------------------------------
Fax | 346-574-1020
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | DIRECTOR
-----------------------------------------------------
Name | MR. JORGE ABALO REDDEN
-----------------------------------------------------
Credential | MSN, FNP-C
-----------------------------------------------------
Telephone | 346-574-1020
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207Q00000X
-----------------------------------------------------
Taxonomy Name | Family Medicine Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------