Provider Demographics
NPI:1881050813
Name:G&A WELLNESS MEDICAL CLINIC, PLLC
Entity type:Organization
Organization Name:G&A WELLNESS MEDICAL CLINIC, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:GHADA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAQER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-237-9400
Mailing Address - Street 1:11037 FM 1960 RD W STE B2
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77065-3632
Mailing Address - Country:US
Mailing Address - Phone:832-234-9400
Mailing Address - Fax:832-237-9411
Practice Address - Street 1:11037 FM 1960 RD W STE B2
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77065-3632
Practice Address - Country:US
Practice Address - Phone:832-234-9400
Practice Address - Fax:832-237-9411
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-06
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty