MEDICARE: BEGIN A NU HEALTH & 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	261QP2300X	Primary Care Clinic/Center

General Provider Information

NPI Number	:	1871304386
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BEGIN A NU HEALTH & WELLNESS LLC

Provider Business Mailing Address
First Line	:	19302 PINE CLUSTER LN
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77346-3013
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	912 HERMAN ST
Second Line	:
City	:	HUMBLE
State	:	TX
Zip	:	77338-4733
Country	:	US
Telephone Number	:	832-586-0005
Fax Number	:	832-586-0930

Authorized Official
Title or Position	:	OWNER
Name	:	DANIELLE EBRON
Credential	:	FNP
Telephone Number	:	254-498-0158

Provider Enumeration Date	:	01/15/2025
Last Update Date	:	01/15/2025

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