Provider Demographics
NPI:1992420335
Name:CARE FOR YOU WELLNESS CLINIC LLC
Entity type:Organization
Organization Name:CARE FOR YOU WELLNESS CLINIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONYA
Authorized Official - Middle Name:
Authorized Official - Last Name:WADE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-477-4686
Mailing Address - Street 1:7011 HARWIN DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-2133
Mailing Address - Country:US
Mailing Address - Phone:346-477-4686
Mailing Address - Fax:713-583-9591
Practice Address - Street 1:7011 HARWIN DR STE 200
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-2133
Practice Address - Country:US
Practice Address - Phone:346-477-4686
Practice Address - Fax:713-583-9591
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-07
Last Update Date:2022-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty