PREVENTIVE HEALTH & WELLNESS GROUP, INC. (NPI# 1508801119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508801119 |
| Entity Type | Organization |
| Organization Name | PREVENTIVE HEALTH & WELLNESS GROUP, INC. |
| Practice Address |
14219 Brentshire Ln Houston TX 77069-1441 |
| Practice Telephone | 8322496200 |
| Practice Fax Number | 8322499205 |
| Mailing Telephone | 8007422368 |
| Mailing Fax Number | 9372912962 |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DEVITA J DAVIS (ADMINISTRATOR) |
| Authorized Official Telephone | 2814445151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
14219 BRENTSHIRE LN |
| City | HOUSTON |
| State | TX |
| Zip Code | 77069-1441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174080659 | Brittanny Lea Gormer | Behavior Technician | 4606 Farm To Market 1960 Rd W Suite 419, Houston, TX 77069 | 2019-02-21 |
| 1417452889 | Kenyatta Robinson | Nurse Practitioner | 5603 Farm To Market 1960 Rd W, Houston, TX 77069 | 2018-03-28 |
| 1962921155 | Chew Transportation | Non-emergency Medical Transport (VAN) | 13313 Cutten Rd., Apt. 2203, Houston, TX 77069 | 2017-09-19 |
| 1639697071 | Nancy Wade | Behavior Technician | 13313 Cutten Rd. Apt. 2203, Houston, TX 77069 | 2017-09-06 |
| 1649716432 | Fresh Start Therapeutic Services LLC | Counselor | 5222 Fm 1960 Rd W Ste 175, Houston, TX 77069 | 2017-01-17 |
| 1568919017 | Jasmine Ned | Home Health Aide | 5959 1960 W Rd, Apt 621, Houston, TX 77069 | 2016-09-01 |
| 1528415007 | Gracesprings Healthcare Services | Day Training, Developmentally Disabled Services | 4606 Fm 1960 Rd W, Ste 322, Houston, TX 77069 | 2016-05-16 |
| 1164887923 | Beatrice Huong Pham | Pharmacist | 7075 Fm1960 W., Houston, TX 77069 | 2015-12-22 |
| 1659746675 | Stediclinic Pllc | Nurse Practitioner | 4560 Fm 1960 Rd W Ste 106, Houston, TX 77069 | 2015-12-02 |
| 1053719799 | Mann Eye Center, Pa | Optometrist | 6927 Fm 1960 West, Suite D, Houston, TX 77069 | 2014-12-11 |
| Find all providers in zip 77069 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
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| 1710436498 | Houston Craniofacial & Sinus Imaging Ll C | Clinic/Center | 9230 Katy Freeway, Suite 600, Houston, TX 77055 | 2016-09-23 |
| 1548626997 | Alliance Mri, LLC | Clinic/Center | 800 Gessner Rd Ste 1225, Houston, TX 77024-4273 | 2016-01-14 |
| 1417346461 | Affordable Ultrasound LLC | Clinic/Center | 9301 Southwest Fwy Ste 150, Houston, TX 77074-1510 | 2015-01-14 |
| 1073919577 | Elite Radiology Pllc. | Clinic/Center | 8811 Westheimer Rd Ste 101, Houston, TX 77063-3600 | 2014-11-10 |
| 1770986648 | Med Center Healthcare Services, Lp | Clinic/Center | 2416 W Holcombe Blvd, Houston, TX 77030-1902 | 2014-10-06 |
| 1407258940 | E&e Diagnostic Medical Imaging and Health Spa, LLC. | Clinic/Center | 5208 Harrisburg Blvd Ste E, Houston, TX 77011-4250 | 2014-09-16 |
| 1922407626 | Drh & Associates, Inc | Clinic/Center | 5630 E Sam Houston Pkwy N, Houston, TX 77015-3249 | 2014-08-19 |
| Find all providers in HOUSTON | ||||
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| 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.