Provider Demographics
NPI:1124376678
Name:ROBERT S HOWELL NP C DC PLLC
Entity Type:Organization
Organization Name:ROBERT S HOWELL NP C DC PLLC
Other - Org Name:WELLNESS, WEIGHT LOSS & AESTHETIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:S
Authorized Official - Last Name:HOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:281-974-1446
Mailing Address - Street 1:2802 GARTH RD STE 307
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3925
Mailing Address - Country:US
Mailing Address - Phone:832-695-6904
Mailing Address - Fax:
Practice Address - Street 1:2802 GARTH RD STE 307
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3925
Practice Address - Country:US
Practice Address - Phone:832-695-6904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP121472261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-SpecialtyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX777229OtherFNP LICENSE