MEDICARE: POZITIV WELLNESS CONCIERGE PLLC

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	207R00000X	Internal Medicine Physician

General Provider Information

NPI Number	:	1275359440
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	POZITIV WELLNESS CONCIERGE PLLC

Provider Business Mailing Address
First Line	:	12712 W LAKE HOUSTON PKWY STE B-170
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77044-6467
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	10130 GRANT RD # 212
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4531
Country	:	US
Telephone Number	:	832-953-5032
Fax Number	:

Authorized Official
Title or Position	:	MANAGING MEMBER
Name	:	MINESH DESAI
Credential	:
Telephone Number	:	832-953-5032

Provider Enumeration Date	:	12/03/2024
Last Update Date	:	02/13/2026

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