MEDICARE: GET WELL HEALTHCARE SERVICES

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	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1447774708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GET WELL HEALTHCARE SERVICES

Provider Business Mailing Address
First Line	:	19020 W LAKE HOUSTON PKWY
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-5131
Country	:	US
Telephone Number	:	281-812-3736
Fax Number	:	844-781-2056

Provider Business Practice Location Address
First Line	:	19020 W LAKE HOUSTON PKWY
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-5131
Country	:	US
Telephone Number	:	281-812-3736
Fax Number	:	844-781-2056

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	JOUVONNA GRAY
Credential	:	NP
Telephone Number	:	281-812-3736

Provider Enumeration Date	:	07/28/2017
Last Update Date	:	07/11/2022

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