NPIMap

Organization Active NPI

Our Family Wellness Center, LLC

  • Pain Clinic/Center
  • Houston, TX
National Provider Identifier
1093441149
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
OUR FAMILY WELLNESS CENTER, LLC
Doing business as
Our Family Wellness Center
Practice address
2646 S Loop W Ste 360
Houston, TX 77054-2688
Phone
(346) 802-2797
Fax
(281) 501-2063
NPI assigned
Jul 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Authorized official

Name
Derrick J Londow
Title
Owner
Phone
(346) 802-2797

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Genetics Clinic/Center 261QG0250X
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

2646 S Loop W Ste 360
Houston, TX 77054-2688

Mailing address

2646 S Loop W Ste 360
Houston, TX 77054-2688
Phone (346) 802-2797

Other names 1

  • Our Family Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

2646 S Loop W
Ste 360
Houston, TX 77054
Phone (346) 204-5592

NPI Registry JSON

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668038400000",
    "number": "1093441149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542688",
            "telephone_number": "346-802-2797",
            "fax_number": "281-501-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 S LOOP W STE 360",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542688",
            "telephone_number": "346-802-2797",
            "fax_number": "281-501-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR FAMILY WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A",
        "authorized_official_last_name": "LONDOW",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "346-802-2797"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QG0250X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Genetics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Our Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Our Family Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.