Provider Demographics
NPI:1982071239
Name:GET WELL WALK-IN CLINIC
Entity Type:Organization
Organization Name:GET WELL WALK-IN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOUVONNA
Authorized Official - Middle Name:
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:FNP-C
Authorized Official - Phone:936-526-3989
Mailing Address - Street 1:525 N SAM HOUSTON PKWY E
Mailing Address - Street 2:STE. 525
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77060-4037
Mailing Address - Country:US
Mailing Address - Phone:936-526-3989
Mailing Address - Fax:
Practice Address - Street 1:525 N SAM HOUSTON PKWY E
Practice Address - Street 2:STE. 525
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-4037
Practice Address - Country:US
Practice Address - Phone:936-526-3989
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-21
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP127938261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care