MEDICARE: HARMONY WELLNESS CENTER, 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	363LA2200X	Adult Health Nurse Practitioner	551891	TX

General Provider Information

NPI Number	:	1861626418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY WELLNESS CENTER, PLLC

Provider Business Mailing Address
First Line	:	2646 S LOOP W STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2676
Country	:	US
Telephone Number	:	713-663-7216
Fax Number	:

Provider Business Practice Location Address
First Line	:	2646 S LOOP W STE 106
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77054-2676
Country	:	US
Telephone Number	:	713-663-7216
Fax Number	:

Authorized Official
Title or Position	:	PRACTITIONER
Name	:	PAMELA SMITH METOYER
Credential	:	NP-C
Telephone Number	:	713-663-7213

Provider Enumeration Date	:	05/12/2009
Last Update Date	:	05/12/2009

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