Provider Demographics
NPI:1588961726
Name:UNIVERSAL WELLNESS AND HEALTH
Entity type:Organization
Organization Name:UNIVERSAL WELLNESS AND HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:GOLDEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:614-795-7295
Mailing Address - Street 1:13817 HIGHWAY 59
Mailing Address - Street 2:SUITE C
Mailing Address - City:SPLENDORA
Mailing Address - State:TX
Mailing Address - Zip Code:77372-4698
Mailing Address - Country:US
Mailing Address - Phone:832-303-9355
Mailing Address - Fax:281-689-6351
Practice Address - Street 1:13817 HIGHWAY 59
Practice Address - Street 2:SUITE C
Practice Address - City:SPLENDORA
Practice Address - State:TX
Practice Address - Zip Code:77372-4698
Practice Address - Country:US
Practice Address - Phone:832-303-9355
Practice Address - Fax:281-689-6351
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-24
Last Update Date:2011-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty