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NPI Code Detail

MEDICARE: IDEAL FAMILY WELLNESS

MEDICARE: IDEAL FAMILY 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
1163W00000XRegistered Nurse728821TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1728821OTHERTXRN LICENSE #

General Provider Information

NPI Number : 1568798882
Entity Type Code : Organization
Provider Name (Legal Business Name) : IDEAL FAMILY WELLNESS
Provider Business Mailing Address
First Line : 7447 HARWIN DR
Second Line : #104
City : HOUSTON
State : TX
Zip : 77036-2016
Country : US
Telephone Number : 832-834-4394
Fax Number : 832-834-4401
Provider Business Practice Location Address
First Line : 7447 HARWIN DR
Second Line : #104
City : HOUSTON
State : TX
Zip : 77036-2016
Country : US
Telephone Number : 832-834-4394
Fax Number : 832-834-4401
Authorized Official
Title or Position : NP
Name : FRANCES E CHILAKA
Credential : NP
Telephone Number : 832-834-4394
Provider Enumeration Date : 10/21/2009
Last Update Date : 12/05/2014

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Directions to “IDEAL FAMILY WELLNESS ” Practice Location

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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.

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