Provider Demographics
NPI:1518005099
Name:FIRST WELLNESS CENTER
Entity Type:Organization
Organization Name:FIRST WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AMARA
Authorized Official - Middle Name:CHAN
Authorized Official - Last Name:TEA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-974-2955
Mailing Address - Street 1:10100 BEECHNUT ST STE 110
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77072-5042
Mailing Address - Country:US
Mailing Address - Phone:713-974-2955
Mailing Address - Fax:
Practice Address - Street 1:10100 BEECHNUT ST STE 110
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77072-5042
Practice Address - Country:US
Practice Address - Phone:713-974-2955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX8424DC111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty