| NPI | 1053539262 |
|---|---|
| Doing Business As | AVENUE 360 HEALTH AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | TEQUILA HENDERSON Revenue Cycle Director 713-426-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207Q00000X Family Medicine | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 2080A0000X Pediatrics, Adolescent Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2024-10-30 |