Provider Demographics
NPI:1013292416
Name:STRATEGIC WELLNESS & HEALTH
Entity Type:Organization
Organization Name:STRATEGIC WELLNESS & HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DAN
Authorized Official - Middle Name:
Authorized Official - Last Name:FAUST
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-284-4043
Mailing Address - Street 1:1051 PINELOCH DR STE 800
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77062-2738
Mailing Address - Country:US
Mailing Address - Phone:832-284-4043
Mailing Address - Fax:832-284-4048
Practice Address - Street 1:1051 PINELOCH DR STE 800
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77062-2738
Practice Address - Country:US
Practice Address - Phone:832-284-4043
Practice Address - Fax:832-284-4048
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-17
Last Update Date:2012-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN-3575293D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes293D00000XLaboratoriesPhysiological Laboratory