Provider Demographics
NPI:1184342271
Name:PRIORITY MEDWELL, LLC
Entity type:Organization
Organization Name:PRIORITY MEDWELL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:ARAMIS
Authorized Official - Middle Name:
Authorized Official - Last Name:COSME
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-819-0237
Mailing Address - Street 1:10242 GREENHOUSE RD
Mailing Address - Street 2:UNIT 802
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-1833
Mailing Address - Country:US
Mailing Address - Phone:832-674-4512
Mailing Address - Fax:
Practice Address - Street 1:10310 W GRAND PKWY S STE 103
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77406-5923
Practice Address - Country:US
Practice Address - Phone:832-446-9444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-16
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty