MEDICARE: HEALTH RESET 360 PLLC

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	207R00000X	Internal Medicine Physician
2	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1568315919
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTH RESET 360 PLLC

Provider Business Mailing Address
First Line	:	16107 KENSINGTON DR STE 280
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-4224
Country	:	US
Telephone Number	:	214-702-8748
Fax Number	:	214-872-8076

Provider Business Practice Location Address
First Line	:	4500 BISSONNET ST STE 355
Second Line	:
City	:	BELLAIRE
State	:	TX
Zip	:	77401-3124
Country	:	US
Telephone Number	:	214-702-8748
Fax Number	:	214-872-8076

Authorized Official
Title or Position	:	CEO
Name	:	MERCY EDIONWE
Credential	:	MD
Telephone Number	:	214-702-8748

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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