| Wellness Clinic | |
|
3569 Business Center Dr Ste 160 Pearland TX 77584-1914 | |
| (855) 877-5977 | |
| (832) 603-4755 |
| Full Name | Wellness Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 3569 Business Center Dr Ste 160, Pearland, Texas |
| Authorized Official Name and Position | Enas H. Kaseb (MD) |
| Authorized Official Contact | 2489103092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellness Clinic 3569 Business Center Dr Ste 110 Pearland TX 77584-1913 Ph: (713) 360-6854 | Wellness Clinic 3569 Business Center Dr Ste 160 Pearland TX 77584-1914 Ph: (855) 877-5977 |
| NPI Number | 1477185684 |
|---|---|
| Provider Enumeration Date | 02/05/2020 |
| Last Update Date | 04/17/2023 |
| Medicare PECOS PAC ID | 5395158778 |
|---|---|
| Medicare Enrollment ID | O20201231001539 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477185684 | NPI | - | NPPES |
| 419950701 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 261QI0500X | Clinic/center - Infusion Therapy | (* (Not Available)) | Secondary |
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