Provider Demographics
NPI:1346942273
Name:IRIS WELLNESS CENTER, PLLC
Entity Type:Organization
Organization Name:IRIS WELLNESS CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HAN
Authorized Official - Middle Name:
Authorized Official - Last Name:WANG
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:832-975-7045
Mailing Address - Street 1:6415 SAN FELIPE ST STE C
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-2700
Mailing Address - Country:US
Mailing Address - Phone:832-975-7045
Mailing Address - Fax:832-344-3848
Practice Address - Street 1:6415 SAN FELIPE ST STE C
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-2700
Practice Address - Country:US
Practice Address - Phone:832-975-7045
Practice Address - Fax:832-344-3848
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-22
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty