MEDICARE: CGF 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	363LW0102X	Women's Health Nurse Practitioner

General Provider Information

NPI Number	:	1497613285
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CGF WELLNESS

Provider Business Mailing Address
First Line	:	1511 WYCLIFFE DR STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4812
Country	:	US
Telephone Number	:	346-810-6718
Fax Number	:	855-360-7596

Provider Business Practice Location Address
First Line	:	1511 WYCLIFFE DR STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77043-4812
Country	:	US
Telephone Number	:	346-810-6718
Fax Number	:	855-360-7596

Authorized Official
Title or Position	:	NURSE PRACTITIONER
Name	:	CASEY GRIFFIN FOSTER
Credential	:
Telephone Number	:	281-620-3481

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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