| NPI | 1518621002 |
|---|---|
| Doing Business As | WELLNESS RX |
| Entity Type | Organization |
| Authorized Contact | KANEISHA D TEAGUE Nurse Practitioner/Provider 281-946-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2021-10-29 |
| Last Update Date | 2023-10-31 |