Provider Demographics
NPI:1588944375
Name:DONESH FAMILY WELLNESS CLINIC
Entity type:Organization
Organization Name:DONESH FAMILY WELLNESS CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REZA
Authorized Official - Middle Name:KAVEH
Authorized Official - Last Name:DONESH
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:713-465-2422
Mailing Address - Street 1:8561 LONG POINT RD STE 103
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77055-2397
Mailing Address - Country:US
Mailing Address - Phone:713-465-2422
Mailing Address - Fax:713-465-5018
Practice Address - Street 1:8561 LONG POINT RD STE 103
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77055-2397
Practice Address - Country:US
Practice Address - Phone:713-465-2422
Practice Address - Fax:713-465-5018
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6538DC111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty