NPIMap

Organization Active NPI

Wellness Associates of Katy, LLC

  • Primary Care Clinic/Center
  • Katy, TX
National Provider Identifier
1174762561
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
J9021 Issued in TX
Legal business name
WELLNESS ASSOCIATES OF KATY, LLC
Practice address
777 S Fry Rd
Suite 105
Katy, TX 77450-2244
Phone
(281) 647-9950
Fax
(281) 647-9960
NPI assigned
Feb 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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

Authorized official

Name
Arlene M Loeschen, NP
Title
LLC Member
Phone
(281) 647-9950

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 578962 TX
Primary Care Clinic/Center 261QP2300X J9021 TX Primary

Addresses

Primary practice location

777 S Fry Rd
Suite 105
Katy, TX 77450-2244

Mailing address

777 S Fry Rd
Suite 105
Katy, TX 77450-2244
Phone (281) 647-9950

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1174762561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 S FRY RD",
            "address_2": "SUITE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502244",
            "telephone_number": "281-647-9950",
            "fax_number": "281-647-9960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 S FRY RD",
            "address_2": "SUITE 105",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502244",
            "telephone_number": "281-647-9950",
            "fax_number": "281-647-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS ASSOCIATES OF KATY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-09",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "LOESCHEN",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "281-647-9950",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "TX",
            "license": "578962",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "J9021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.