| Texas Integrative Wellness Pllc | |
|
21660 Kingsland Blvd Ste 200 Katy TX 77450-2511 | |
| (713) 493-7777 | |
| Not Available |
| Full Name | Texas Integrative Wellness Pllc |
|---|---|
| Speciality | General Practice |
| Location | 21660 Kingsland Blvd Ste 200, Katy, Texas |
| Authorized Official Name and Position | Maryam M Qayum (OWNER/PROVIDER) |
| Authorized Official Contact | 7134937777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Integrative Wellness Pllc 21660 Kingsland Blvd Ste 200 Katy TX 77450-2511 Ph: (713) 493-7777 | Texas Integrative Wellness Pllc 21660 Kingsland Blvd Ste 200 Katy TX 77450-2511 Ph: (713) 493-7777 |
| NPI Number | 1770107542 |
|---|---|
| Provider Enumeration Date | 06/08/2020 |
| Last Update Date | 06/08/2020 |
| Medicare PECOS PAC ID | 2264856046 |
|---|---|
| Medicare Enrollment ID | O20200727002425 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770107542 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | David H Hildreth |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1740210319 PECOS PAC ID: 1355381054 Enrollment ID: I20050831000330 |
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