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General NPI Number Information
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NPI Number | 1871401687
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Entity Type | Organization
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Legal Business Name | SANFORT WELLNESS CLINIC
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Dates
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Enumeration Date | 09/01/2026
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Last Update Date | 09/01/2026
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Provider Practice Location Address
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Address Line | 12000 RICHMOND AVE STE 340
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City | HOUSTON
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State | TX
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Zip | 77082-2431
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Country | US
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Telephone | 281-406-8188
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Fax | 281-406-8184
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Provider Business Mailing Address
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Address Line | 12000 RICHMOND AVE STE 340
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City | HOUSTON
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State | TX
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Zip | 77082-2431
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Country | US
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Telephone | 281-406-8188
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Fax | 281-406-8184
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Authorized Official
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Title or Position | CEO
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Name | DR. SANDRA A ONYEJIAKA
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Credential | DNP;FNP;PMHNP-BC
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Telephone | 832-274-9761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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