AGRARIAN WELLNESS, LLC


Address: 17000 El Camino Real Ste 209, Houston, TX 77058
Phone: 8322844328

AGRARIAN WELLNESS, LLC (NPI# 1174035778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1174035778
Entity Type Organization
Organization Name AGRARIAN WELLNESS, LLC
Practice Address 17000 El Camino Real Ste 209
Houston
TX 77058
Mailing Address 17000 El Camino Real Ste 209
Houston
TX 77058-2633
Practice Telephone 8322844328
Practice Fax Number 8322844728
Mailing Telephone 8322844328
Mailing Fax Number 8322844728
Enumeration Date 2017-11-04
Last Update Date 2018-06-06
Authorized Official Name LATIA HICKERSON (OWNER)
Authorized Official Telephone 8329306345
Authorized Official Credential PHD, MPH, APRN,
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WL0100X Registered Nurse
Specialization: Lactation Consultant
Nursing Service Providers
Y 363LW0102X Nurse Practitioner
Specialization: Women's Health
TX Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
202 Woodcombe Dr, Houston, TX 770622538 3867475511

Office Location

Street Address 17000 EL CAMINO REAL STE 209
City HOUSTON
State TX
Zip Code 77058

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1699248807 Jolly Joseph Nurse Practitioner 18300, Houston Methodist, Houston, TX 77058 2019-01-10
1700372992 Jasmin Elise Auzenne Audiologist 17625 El Camino Real Ste 155, Houston, TX 77058 2018-07-10
1053801225 Dialyspa Vii LLC Clinic/Center 1411 Bonner St., Houston, TX 77058 2018-05-14
1699263285 Pneucare, LLC Durable Medical Equipment & Medical Supplies 1322 Space Park Dr Ste C120, Houston, TX 77058 2018-04-29
1972005189 Limy Fernandus Nurse Practitioner 985 E Nasa Pkwy, Houston, TX 77058 2018-03-03
1033623616 Sigi Paul Nurse Practitioner 1210 El Camino Village Dr., Houston, TX 77058 2017-11-19
1881107845 Jennifer Elise Hobson Counselor 1322 Space Park Dr Ste B123, Houston, TX 77058 2017-11-13
1013468073 Cynthia Bandemer Counselor 17300 El Camino Real Ste 107d, Houston, TX 77058 2016-10-14
1043698533 Hopewell Home Healthcare LLC Nursing Care 18090 Kings Row, Houston, TX 77058 2015-05-15
1982095022 Echomed Distributors, LLC Durable Medical Equipment & Medical Supplies 16840 Buccaneer Ln Ste 242, Houston, TX 77058 2015-02-11
Find all providers in zip 77058

Taxonomy Information

Taxonomy Code 363LW0102X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Women's Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1235600164 Emily Medley Nurse Practitioner 2652 Westgate St, Houston, TX 77098-1412 2018-12-17
1760962526 Jasmine J Sacus Nurse Practitioner 5800 Bellaire Blvd., Bldg. 1b, Ste. 120, Houston, TX 77081-5537 2018-08-20
1063892107 Sherill D. Kennedy Nurse Practitioner 2617 W Holcombe Blvd, Houston, TX 77025-1757 2015-06-03
1700144623 Sylvia Ann Poe-velasco Nurse Practitioner 6400 Fannin St Ste 1900, Houston, TX 77030-1528 2012-04-28
1093082158 Rachel Alline Naegeli Nurse Practitioner 4600 Gulf Fwy Ste 100, Houston, TX 77023-3548 2011-11-17
1689963720 Narmadha Peter Nurse Practitioner 807 Orchard Peak Ct, Houston, TX 77062-2167 2011-03-29
1356503353 Lesley Nichole Launikitis Nurse Practitioner 3601 Fannin St, Houston, TX 77004-3913 2008-06-30
1932394541 Sara M Dean Nurse Practitioner 6651 Main St Ste F420, Houston, TX 77030 2007-09-07
1336218981 Rebecca Sue Runyan Dowdy Nurse Practitioner 15003 Fm 529 Rd, Ste A, Houston, TX 77095-4375 2006-11-07
1255419644 Deallen Burse Nurse Practitioner 14412 Jasmine Terrace Ln, Houston, TX 77047-2979 2006-11-01
Find all providers in HOUSTON

Competitor

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City HOUSTON
Zip Code 77058

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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