Provider Demographics
NPI:1750577375
Name:THE WELLNESS ASSOCIATES OF HOUSTON, INC.
Entity type:Organization
Organization Name:THE WELLNESS ASSOCIATES OF HOUSTON, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-999-5220
Mailing Address - Street 1:440 BENMAR DR STE 2230
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-3169
Mailing Address - Country:US
Mailing Address - Phone:281-999-5220
Mailing Address - Fax:
Practice Address - Street 1:440 BENMAR DR STE 2230
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3169
Practice Address - Country:US
Practice Address - Phone:281-999-5220
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-18
Last Update Date:2007-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty