Provider Demographics
NPI:1851074074
Name:ETHOS WELLNESS & MANAGEMENT LLC
Entity type:Organization
Organization Name:ETHOS WELLNESS & MANAGEMENT LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:K
Authorized Official - Last Name:KATEI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:832-203-7308
Mailing Address - Street 1:6220 WESTPARK DR STE 208
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77057-7386
Mailing Address - Country:US
Mailing Address - Phone:832-203-7308
Mailing Address - Fax:281-803-8174
Practice Address - Street 1:6220 WESTPARK DR STE 208
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77057-7386
Practice Address - Country:US
Practice Address - Phone:832-203-7308
Practice Address - Fax:281-803-8174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No251G00000XAgenciesHospice Care, Community BasedGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty