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General NPI Number Information
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NPI Number | 1457912677
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Entity Type | Organization
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Legal Business Name | CORE HYDRATION AND WELLNESS, PLLC
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Dates
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Enumeration Date | 06/27/2019
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Last Update Date | 02/17/2023
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Provider Practice Location Address
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Address Line | 16100 CAIRNWAY DR STE 235
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City | HOUSTON
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State | TX
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Zip | 77084-3500
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Country | US
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Telephone | 713-496-2069
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Fax | 877-335-1881
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Provider Business Mailing Address
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Address Line | 16100 CAIRNWAY DR STE 235
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City | HOUSTON
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State | TX
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Zip | 77084-3500
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Country | US
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Telephone | 713-496-2069
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Fax | 877-335-1881
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Authorized Official
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Title or Position | CEO
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Name | MRS. ASHLEY FALKNER
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Credential | FNP, PMHNP-BC
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Telephone | 901-515-8347
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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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 | 363LP2300X
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Taxonomy Name | Primary Care Nurse Practitioner
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License Number |
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License Number State |
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