MEDICARE: FIRST WELLNESS CENTER

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	111N00000X	Chiropractor	8424DC	TX

General Provider Information

NPI Number	:	1518005099
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FIRST WELLNESS CENTER

Provider Business Mailing Address
First Line	:	10100 BEECHNUT ST STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5042
Country	:	US
Telephone Number	:	713-974-2955
Fax Number	:

Provider Business Practice Location Address
First Line	:	10100 BEECHNUT ST STE 110
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77072-5042
Country	:	US
Telephone Number	:	713-974-2955
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. AMARA CHAN TEA
Credential	:	D.C.
Telephone Number	:	713-974-2955

Provider Enumeration Date	:	02/04/2007
Last Update Date	:	08/22/2020

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Directions to “FIRST WELLNESS CENTER ” Practice Location

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