MEDICARE: PURE HEALTH AND WELLNESS

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	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1366274052
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE HEALTH AND WELLNESS

Provider Business Mailing Address
First Line	:	3845 CYPRESS CREEK PKWY STE 335
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3552
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3845 CYPRESS CREEK PKWY STE 335
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3552
Country	:	US
Telephone Number	:	832-328-4737
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING COORDINATOR
Name	:	NATALIE ANDERSON
Credential	:
Telephone Number	:	832-328-4737

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	06/26/2026

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Directions to “PURE HEALTH AND WELLNESS ” Practice Location

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