Provider Demographics
NPI:1750678686
Name:BELLAIRE WELLNESS CENTER
Entity Type:Organization
Organization Name:BELLAIRE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:UZZIAH
Authorized Official - Middle Name:PATHUS
Authorized Official - Last Name:GRIGSBY
Authorized Official - Suffix:III
Authorized Official - Credentials:DC
Authorized Official - Phone:713-432-1122
Mailing Address - Street 1:7322 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 775
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-2010
Mailing Address - Country:US
Mailing Address - Phone:713-432-1122
Mailing Address - Fax:713-432-7733
Practice Address - Street 1:7322 SOUTHWEST FWY
Practice Address - Street 2:SUITE 775
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-2010
Practice Address - Country:US
Practice Address - Phone:713-432-1122
Practice Address - Fax:713-432-7733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-29
Last Update Date:2011-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
No111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Multi-Specialty
No111NX0100XChiropractic ProvidersChiropractorOccupational HealthGroup - Multi-Specialty
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational MedicineGroup - Multi-Specialty
No208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty