MEDICARE: H2E THERAPY & WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	225700000X	Massage Therapist

General Provider Information

NPI Number	:	1063788420
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	H2E THERAPY & WELLNESS

Provider Business Mailing Address
First Line	:	1200 BINZ
Second Line	:	1438
City	:	HOUSTON
State	:	TX
Zip	:	77004
Country	:	US
Telephone Number	:	281-995-1325
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 BINZ ST
Second Line	:	1438
City	:	HOUSTON
State	:	TX
Zip	:	77004-6900
Country	:	US
Telephone Number	:	281-995-1325
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DIANE AUGUST
Credential	:
Telephone Number	:	281-995-1325

Provider Enumeration Date	:	03/29/2012
Last Update Date	:	04/02/2012

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Directions to “H2E THERAPY & WELLNESS ” Practice Location

Language	Start Address	Practice Location

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