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General NPI Number Information
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NPI Number | 1851074074
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Entity Type | Organization
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Legal Business Name | ETHOS WELLNESS & MANAGEMENT LLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 6220 WESTPARK DR STE 193
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City | HOUSTON
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State | TX
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Zip | 77057-7371
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Country | US
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Telephone | 713-325-2857
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Fax | 281-803-8174
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Provider Business Mailing Address
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Address Line | 6220 WESTPARK DR STE 193
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City | HOUSTON
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State | TX
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Zip | 77057-7371
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Country | US
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Telephone | 713-325-2857
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Fax | 281-803-8174
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Authorized Official
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Title or Position | DIRECTOR
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Name | JESENIA MARIE PAREDES
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Credential |
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Telephone | 713-325-2857
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 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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