Provider Demographics
NPI:1033632492
Name:WELLNESS & OCCUPATIONAL REHAB CENTER, INC.
Entity Type:Organization
Organization Name:WELLNESS & OCCUPATIONAL REHAB CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:EATMON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-974-1400
Mailing Address - Street 1:2101 CRAWFORD ST STE 207A
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-8941
Mailing Address - Country:US
Mailing Address - Phone:832-974-1400
Mailing Address - Fax:832-986-5640
Practice Address - Street 1:2101 CRAWFORD ST STE 207A
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-8941
Practice Address - Country:US
Practice Address - Phone:832-974-1400
Practice Address - Fax:832-986-5640
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-18
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty