Provider Demographics
NPI:1912625880
Name:TEXAS HEALTH & WELLNESS CLINIC LLC
Entity type:Organization
Organization Name:TEXAS HEALTH & WELLNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDNA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKEMU
Authorized Official - Suffix:
Authorized Official - Credentials:NP-C
Authorized Official - Phone:832-512-0065
Mailing Address - Street 1:7334 WOODED LAKE LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-7831
Mailing Address - Country:US
Mailing Address - Phone:832-512-0065
Mailing Address - Fax:
Practice Address - Street 1:7334 WOODED LAKE LN
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:TX
Practice Address - Zip Code:77407-7831
Practice Address - Country:US
Practice Address - Phone:832-512-0065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty