Provider Demographics
NPI:1770318917
Name:WELLNESSWITS INC
Entity type:Organization
Organization Name:WELLNESSWITS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIKE
Authorized Official - Middle Name:
Authorized Official - Last Name:ODUBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-779-2347
Mailing Address - Street 1:9214 LAKESHORES LAGOON
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77433-6810
Mailing Address - Country:US
Mailing Address - Phone:832-779-2347
Mailing Address - Fax:
Practice Address - Street 1:9214 LAKESHORES LAGOON
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:TX
Practice Address - Zip Code:77433-6810
Practice Address - Country:US
Practice Address - Phone:832-779-2347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-06
Last Update Date:2024-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2083B0002XAllopathic & Osteopathic PhysiciansPreventive MedicineObesity MedicineGroup - Multi-Specialty
No171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty
No251K00000XAgenciesPublic Health or Welfare
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health