MEDICARE: HEALTHY HABITS LIFESTYLE

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1184551848
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HABITS LIFESTYLE

Provider Business Mailing Address
First Line	:	3307 TEXAS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-3330
Country	:	US
Telephone Number	:	281-961-1910
Fax Number	:

Provider Business Practice Location Address
First Line	:	3307 TEXAS ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77003-3330
Country	:	US
Telephone Number	:	281-961-1910
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. RONALD HARRISON
Credential	:
Telephone Number	:	281-961-1910

Provider Enumeration Date	:	05/06/2026
Last Update Date	:	05/06/2026

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Directions to “HEALTHY HABITS LIFESTYLE ” Practice Location

Language	Start Address	Practice Location

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