MEDICARE: KING WELLNESS INSTITUTE

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	:	1891689543
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KING WELLNESS INSTITUTE

Provider Business Mailing Address
First Line	:	14048 CRYSTAL CAVE LN
Second Line	:
City	:	CONROE
State	:	TX
Zip	:	77384-2202
Country	:	US
Telephone Number	:	832-773-7343
Fax Number	:

Provider Business Practice Location Address
First Line	:	6384 LOUETTA RD
Second Line	:
City	:	SPRING
State	:	TX
Zip	:	77379-7589
Country	:	US
Telephone Number	:	281-836-5656
Fax Number	:	281-836-5646

Authorized Official
Title or Position	:	OWNER
Name	:	DR. WINIFRED RENE KING
Credential	:	MD
Telephone Number	:	832-773-7343

Provider Enumeration Date	:	06/06/2025
Last Update Date	:	06/06/2025

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Directions to “KING WELLNESS INSTITUTE ” Practice Location

Language	Start Address	Practice Location

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