COMPLETE WELLNESS CENTER (NPI# 1952794216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952794216 |
Entity Type | Organization |
Organization Name | COMPLETE WELLNESS CENTER |
Practice Address |
4201 Garth Rd Suite 290 Baytown TX 77521-3167 |
Practice Telephone | 2814225535 |
Practice Fax Number | 2814224801 |
Mailing Telephone | 2814225535 |
Mailing Fax Number | 2814224801 |
Enumeration Date | 2015-03-11 |
Last Update Date | 2015-03-11 |
Authorized Official Name | DR. PATRICIA ANN FREY (MANAGER) |
Authorized Official Telephone | 2814225535 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207K00000X | Allergy & Immunology | K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207KI0005X |
Allergy & Immunology Specialization: Clinical & Laboratory Immunology |
K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207Q00000X | Family Medicine | K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207QG0300X |
Family Medicine Specialization: Geriatric Medicine |
K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207V00000X | Obstetrics & Gynecology | K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
K2904 | TX | Allopathic & Osteopathic Physicians |
N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
K2904 | TX | Allopathic & Osteopathic Physicians |
Y | 208D00000X | General Practice | K2904 | TX | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376556779 | Complete Wellness Center | Family Medicine | 315 W 10th St Ne Ste 105, Rome, GA 30165-2638 | 2006-08-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Colorado Business Entities | Complete Wellness Center, LLC | 7770 Coventry Drive, Castle Rock, CO 80108 |
Street Address |
4201 GARTH RD SUITE 290 |
City | BAYTOWN |
State | TX |
Zip Code | 77521-3167 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770584690 | Edward William Leahey | Internal Medicine | 4201 Garth Rd, 100, Baytown, TX 77521-3167 | 2005-08-02 |
1295285575 | Mayla Garcia | Nurse Practitioner | 4201 Garth Rd, Suite 208, Baytown, TX 77521-3167 | 2016-10-10 |
1619301223 | Michelle A Obale | Nurse Practitioner | 4201 Garth Rd, Suite 212, Baytown, TX 77521-3167 | 2013-08-30 |
1710329966 | Danny Wong M.d. Pa | Otolaryngology | 4201 Garth Rd, Ste 321, Baytown, TX 77521-3167 | 2013-07-29 |
1922379536 | East Houston Cardiovascular Associates Pa | Internal Medicine | 4201 Garth Rd, Suite 318, Baytown, TX 77521-3167 | 2012-01-13 |
1124312012 | Testsmartrx LLC | Psychologist | 4201 Garth Rd, Ste 290, Baytown, TX 77521-3167 | 2011-06-08 |
1396046371 | Mohammed Athari, Md, Pa | Psychiatry & Neurology | 4201 Garth Rd, Ste 210, Baytown, TX 77521-3167 | 2010-11-08 |
1528368156 | Eric S. Rothenberg, M.d., P.a | Clinic/Center | 4201 Garth Rd, Suite 111, Baytown, TX 77521-3167 | 2010-10-29 |
1194038281 | Houssam Ahmad Oueini | Internal Medicine | 4201 Garth Rd, Baytown, TX 77521 | 2010-07-19 |
1083936124 | Renee Karow Pace | Nurse Practitioner | 4201 Garth Rd, 212, Baytown, TX 77521-3167 | 2010-02-16 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841832805 | Brenda Joyce Frederick | Technician | 919 Northwood Dr #7105, Baytown, TX 77521 | 2019-10-11 |
1073168746 | Next Level Mv LLC | Clinic/Center | 7710 Garth Road, Ste A, Baytown, TX 77521 | 2019-08-08 |
1306304019 | Rani Benson | Licensed Practical Nurse | Houston Methodist Baytown Hospital, 4401 Garth Road, Bay Town, TX 77521 | 2019-03-12 |
1073091146 | Providence Er of Baytown Pllc | Clinic/Center | 0 Garth Rd, Baytown, TX 77521 | 2018-08-01 |
1083100648 | Shelbi Lynn Weatherly | Nurse Practitioner | 621-1 Rollingbrook Dr, Baytown, TX 77521 | 2018-07-06 |
1922592278 | Charleston Espanol | Dentist | 6360 Garth Rd #105, Baytown, TX 77521 | 2018-06-20 |
1013437334 | Manish Shanker | Dentist | 7922 Cheyenne Court, Baytown, TX 77521 | 2017-06-27 |
1306366299 | H-e-b, Lp | Clinical Medical Laboratory | 6430 Garth Road, Baytown, TX 77521 | 2017-06-22 |
1942756184 | Alisa Dill | Dentist | 6331 Garth Rd., Suite 100, Baytown, TX 77521 | 2016-08-28 |
1447605472 | Metx, LLC | Audiologist-Hearing Aid Fitter | 1109 W Baker Rd, Ste C, Baytown, TX 77521 | 2016-04-27 |
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Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598851438 | Philip Theodric Eichelberger Jr. | General Practice | 1610 James Bowie Drive, Suite A103, Baytown, TX 77520-3346 | 2006-10-05 |
1073820254 | Eichelberger Medical Practice, P.a. | General Practice | 1610 James Bowie Drive, Suite A103, Baytown, TX 77520-3346 | 2010-09-09 |
1013245133 | Patricia A. Frey, M.d., P.a. | General Practice | 4201 Garth Rd, Suite 290, Baytown, TX 77521-3167 | 2009-12-01 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.