| Weaver Wellness Center Inc | |
|
926 N Wilcrest Dr Houston TX 77079-3504 | |
| (936) 314-7701 | |
| Not Available |
| Full Name | Weaver Wellness Center Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 926 N Wilcrest Dr, Houston, Texas |
| Authorized Official Name and Position | Mickey Weaver (CEO) |
| Authorized Official Contact | 9363147701 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Weaver Wellness Center Inc 926 N Wilcrest Dr Ste 100 Houston TX 77079-3504 Ph: (936) 314-7701 | Weaver Wellness Center Inc 926 N Wilcrest Dr Houston TX 77079-3504 Ph: (936) 314-7701 |
| NPI Number | 1538744149 |
|---|---|
| Provider Enumeration Date | 03/15/2021 |
| Last Update Date | 11/02/2021 |
| Medicare PECOS PAC ID | 8729470406 |
|---|---|
| Medicare Enrollment ID | O20220530000057 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538744149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Syed Tanzeel Jafri |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1932339371 PECOS PAC ID: 9133434343 Enrollment ID: I20150818003733 |
| Provider Name | Sheila Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093252694 PECOS PAC ID: 2062803612 Enrollment ID: I20211215002713 |
| Provider Name | Eboni January |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1851602593 PECOS PAC ID: 8426273434 Enrollment ID: I20220921004020 |
| Provider Name | Ladonna R Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154810232 PECOS PAC ID: 0446635619 Enrollment ID: I20220923003058 |
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