MEDICARE: PREVENTIVE HEALTH & WELLNESS GROUP, INC.

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	261QR0200X	Radiology Clinic/Center

General Provider Information

NPI Number	:	1508801119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PREVENTIVE HEALTH & WELLNESS GROUP, INC.

Provider Business Mailing Address
First Line	:	14219 BRENTSHIRE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-1441
Country	:	US
Telephone Number	:	800-742-2368
Fax Number	:	937-291-2962

Provider Business Practice Location Address
First Line	:	14219 BRENTSHIRE LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77069-1441
Country	:	US
Telephone Number	:	832-249-6200
Fax Number	:	832-249-9205

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	DEVITA J DAVIS
Credential	:
Telephone Number	:	281-444-5151

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1639161011 — MR. MAGED ANSWER AMINE MD
Practice Location Address:

20207 CHASEWOOD PARK DR , SUITE 305
HOUSTON, TX
77070-1441

Practice Phone: 832-548-5600
Practice Fax: 832-201-0959

1013900885 — DR. KIMBERLY K BIRTCHER PHARM.D.
Practice Location Address:

1441 MOURSUND ST
HOUSTON, TX
77030-3407

Practice Phone: 713-795-8372
Practice Fax: 713-795-8383

1922082494 — DAVID I. CHENAULT MD
Practice Location Address:

20207 CHASEWOOD PARK DR , STE 100
HOUSTON, TX
77070-1441

Practice Phone: 832-237-2227
Practice Fax: 832-717-0111

1982657565 — DEAVRA ARPEGE DAUGHTRY
Practice Location Address:

9516 NORTH FWY
HOUSTON, TX
77037-1441

Practice Phone: 713-697-9235
Practice Fax: 713-697-9406

1861409278 — NIDAL I BUHEIS M.D.
Practice Location Address:

20207 CHASEWOOD PARK DR , ST 208
HOUSTON, TX
77070-1441

Practice Phone: 713-986-5630
Practice Fax:

1275735383 — MURTAZA TAHER GHADIALI MD
Practice Location Address:

20207 CHASEWOOD PARK DR , SUITE 100
HOUSTON, TX
77070-1441

Practice Phone: 832-237-2227
Practice Fax: 832-717-0111

Directions to “PREVENTIVE HEALTH & WELLNESS GROUP, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.