Provider Demographics
NPI:1518179605
Name:PIONEER HEALTH & WELLNESS SOLUTIONS, INC.
Entity Type:Organization
Organization Name:PIONEER HEALTH & WELLNESS SOLUTIONS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:EBENY
Authorized Official - Middle Name:
Authorized Official - Last Name:NWANGUMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-335-3401
Mailing Address - Street 1:1915 RUSTIC OAK LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77469-5650
Mailing Address - Country:US
Mailing Address - Phone:832-335-3401
Mailing Address - Fax:281-342-1077
Practice Address - Street 1:1915 RUSTIC OAK LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77469-5650
Practice Address - Country:US
Practice Address - Phone:832-335-3401
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health