Gulfcoast Wellness Managemt Group

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

F006483 Issued in TX

Legal business name

GULFCOAST WELLNESS MANAGEMT GROUP

Practice address

2404 Caroline St
Houston, TX 77004-1016

Phone

(713) 524-4803

Fax

(713) 524-4801

NPI assigned

Jul 10, 2007

Organization subpart

Yes

Parent organization

GULFCOAST WELLNESS MANAGEMT GROUPAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Lamont Ratcliff

Title

Director

Phone

(713) 524-4803

Specialties & licenses 6

Addresses

Tax ID family

Gulfcoast Wellness Managemt Group2 organizations share this tax ID, including this one

Part of

Gulfcoast Wellness Managemt Group

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Wellness Management Group

  • General Practice Physician
  • Houston, TX
  • NPI 1962648006
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1083812259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770041016",
            "telephone_number": "713-524-4803",
            "fax_number": "713-524-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2404 CAROLINE ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770041016",
            "telephone_number": "713-524-4803",
            "fax_number": "713-524-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GULFCOAST WELLNESS MANAGEMT GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GULFCOAST WELLNESS MANAGEMT GROUP",
        "enumeration_date": "2007-07-10",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "RATCLIFF",
        "authorized_official_first_name": "LAMONT",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "713-524-4803"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "F006483",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G7943",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "G7943",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "G7943",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "G7943",
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "AM0871776",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gulf Gate MRI
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• Gulf South Diagnostic Solutions LLC
• Gulfcoast Andrology, LLC
• Gulfgate Kidney Center, LLC
• Gulfgate Vision PC
• Gulfton Dental PA
• Gulfton Healthcare, Inc.
• Gulfton Med Clinic

• Chiropractor in Houston, TX
• Providers in Houston, TX by specialty
• Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.