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NPI Code Detail

MEDICARE: SUMMIT WELLNESS OF TEXAS

MEDICARE: SUMMIT WELLNESS OF TEXAS
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
1225700000XMassage Therapist

General Provider Information

NPI Number : 1952190886
Entity Type Code : Organization
Provider Name (Legal Business Name) : SUMMIT WELLNESS OF TEXAS
Provider Business Mailing Address
First Line : 2329 EDENBORN AVE
Second Line :
City : METAIRIE
State : LA
Zip : 70001-1815
Country : US
Telephone Number : 504-571-5355
Fax Number :
Provider Business Practice Location Address
First Line : 2121 SAGE RD STE 245
Second Line :
City : HOUSTON
State : TX
Zip : 77056-4336
Country : US
Telephone Number : 281-815-8580
Fax Number : 888-830-8403
Authorized Official
Title or Position : COO
Name : NICHOLAS GWYN
Credential :
Telephone Number : 504-250-5283
Provider Enumeration Date : 05/06/2025
Last Update Date : 04/13/2026

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Directions to “SUMMIT WELLNESS OF TEXAS ” Practice Location

Language Start Address Practice Location
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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