Provider Demographics
NPI:1316797145
Name:B-DEX FAMILY CLINIC WELLNESS & MED SPA LLC
Entity type:Organization
Organization Name:B-DEX FAMILY CLINIC WELLNESS & MED SPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EUCHARIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANYICHIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-220-3534
Mailing Address - Street 1:451 MINONITE RD STE 170
Mailing Address - Street 2:
Mailing Address - City:ROSENBERG
Mailing Address - State:TX
Mailing Address - Zip Code:77469-7520
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:451 MINONITE RD STE 170
Practice Address - Street 2:
Practice Address - City:ROSENBERG
Practice Address - State:TX
Practice Address - Zip Code:77469-7520
Practice Address - Country:US
Practice Address - Phone:346-220-3534
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-25
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care