Provider Demographics
NPI:1306392311
Name:C 2 K HEALTH AND WELLNESS PLLC
Entity Type:Organization
Organization Name:C 2 K HEALTH AND WELLNESS PLLC
Other - Org Name:FAMILY FIRST URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BOWLIN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:936-235-2825
Mailing Address - Street 1:2510 S LOOP 336 W STE 115
Mailing Address - Street 2:
Mailing Address - City:CONROE
Mailing Address - State:TX
Mailing Address - Zip Code:77304-3737
Mailing Address - Country:US
Mailing Address - Phone:936-235-2825
Mailing Address - Fax:936-235-2826
Practice Address - Street 1:2510 S LOOP 336 W STE 115
Practice Address - Street 2:
Practice Address - City:CONROE
Practice Address - State:TX
Practice Address - Zip Code:77304-3737
Practice Address - Country:US
Practice Address - Phone:936-235-2825
Practice Address - Fax:936-235-2826
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-30
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent CareGroup - Single Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty