Provider Demographics
NPI:1295116937
Name:SWEET PEA WELLNESS
Entity type:Organization
Organization Name:SWEET PEA WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DC
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANI
Authorized Official - Middle Name:
Authorized Official - Last Name:TSENG
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-771-1583
Mailing Address - Street 1:9225 KATY FWY
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-1521
Mailing Address - Country:US
Mailing Address - Phone:713-771-1583
Mailing Address - Fax:713-758-0219
Practice Address - Street 1:9225 KATY FWY
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-1521
Practice Address - Country:US
Practice Address - Phone:713-771-1583
Practice Address - Fax:713-758-0219
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty