| Community Wellness Clinic, Llp | |
|
201 Enterprise Row Suite 12 Conroe TX 77301-4448 | |
| (936) 760-2784 | |
| (936) 760-1950 |
| Full Name | Community Wellness Clinic, Llp |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 201 Enterprise Row, Conroe, Texas |
| Authorized Official Name and Position | Karla Gregory (N/A) |
| Authorized Official Contact | 9367602784 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Wellness Clinic, Llp 201 Enterprise Row Ste 12 Conroe TX 77301-4448 Ph: (936) 760-2784 | Community Wellness Clinic, Llp 201 Enterprise Row Suite 12 Conroe TX 77301-4448 Ph: (936) 760-2784 |
| NPI Number | 1457632440 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 06/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457632440 | NPI | - | NPPES |
| 018986204 | Medicaid | TX | |
| 018986203 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | J4636 (Texas) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | BZ3718105 (Texas) | Primary |
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