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General NPI Number Information
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NPI Number | 1952190886
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Entity Type | Organization
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Legal Business Name | SUMMIT WELLNESS OF TEXAS
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Dates
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Enumeration Date | 05/06/2025
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Last Update Date | 11/25/2025
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Provider Practice Location Address
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Address Line | 2121 SAGE RD STE 245
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City | HOUSTON
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State | TX
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Zip | 77056-4336
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Country | US
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Telephone | 281-815-8580
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Fax | 888-830-8403
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Provider Business Mailing Address
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Address Line | 2329 EDENBORN AVE
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City | METAIRIE
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State | LA
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Zip | 70001-1815
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Country | US
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Telephone | 504-250-5283
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Fax |
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Authorized Official
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Title or Position | COO
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Name | NICHOLAS GWYN
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Credential |
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Telephone | 504-250-5283
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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