| NPI | 1972831279 |
|---|---|
| Doing Business As | HOUSTON WELLNESS BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | TERRY TRIBBLE Executive Director 713-522-7465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 174400000X Specialist (Licence: TX 0109381) |
| Enumeration Date | 2009-11-24 |
| Last Update Date | 2014-03-06 |