MEDICARE: WELL DESERVED WELLNESS, LLC

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	13713	TX

General Provider Information

NPI Number	:	1528567419
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WELL DESERVED WELLNESS, LLC

Provider Business Mailing Address
First Line	:	16715 ROCKWALL ST
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77303-2071
Country	:	US
Telephone Number	:	832-877-1574
Fax Number	:

Provider Business Practice Location Address
First Line	:	3702 CYPRESS CREEK PKWY STE O
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77068-3518
Country	:	US
Telephone Number	:	832-877-1574
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR/OWNER
Name	:	DR. MELODY M JENKINS
Credential	:	DC
Telephone Number	:	832-877-1574

Provider Enumeration Date	:	02/06/2018
Last Update Date	:	11/09/2023

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Directions to “WELL DESERVED WELLNESS, LLC ” Practice Location

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