Provider Demographics
NPI:1275393324
Name:WELLNESS WHISPER, PLLC,
Entity Type:Organization
Organization Name:WELLNESS WHISPER, PLLC,
Other - Org Name:MIO WELLNESS CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:OMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:956-267-4667
Mailing Address - Street 1:7128 ROSSON LN STE 10
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78041-2012
Mailing Address - Country:US
Mailing Address - Phone:956-267-4667
Mailing Address - Fax:956-435-0138
Practice Address - Street 1:7128 ROSSON LN STE 10
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78041-2012
Practice Address - Country:US
Practice Address - Phone:956-267-4667
Practice Address - Fax:956-435-0138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QI0500XAmbulatory Health Care FacilitiesClinic/CenterInfusion Therapy