Provider Demographics
NPI:1235653601
Name:BAYTOWN WELLNESS & REHAB
Entity Type:Organization
Organization Name:BAYTOWN WELLNESS & REHAB
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:ARAGUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-802-2226
Mailing Address - Street 1:3711 GARTH RD STE 140A
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77521-3176
Mailing Address - Country:US
Mailing Address - Phone:832-926-4858
Mailing Address - Fax:832-926-4866
Practice Address - Street 1:3711 GARTH RD STE 140A
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77521-3176
Practice Address - Country:US
Practice Address - Phone:832-926-4858
Practice Address - Fax:832-926-4866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX5035111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty