Organization Active NPI

Bellaire Wellness Management Inc

  • Specialist
  • Houston, TX
National Provider Identifier
1225286305
Registry record updated Sep 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
J7582 Issued in TX
Legal business name
BELLAIRE WELLNESS MANAGEMENT INC
Doing business as
BELLAIRE WELLNESS MEDICAL CLINIC
Practice address
5611 Bellaire Blvd
Suite 100
Houston, TX 77081-5630
Phone
(713) 339-1566
Fax
(713) 339-1518
NPI assigned
Sep 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2008

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

Authorized official

Name
Dr. Rodolfo Mendez- Cancel, MD
Title
Medical Doctor
Phone
(713) 339-1566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X J7582 TX Primary

Addresses

Primary practice location

5611 Bellaire Blvd
Suite 100
Houston, TX 77081-5630

Mailing address

5611 Bellaire Blvd
Suite 100
Houston, TX 77081-5630
Phone (713) 339-1566

Other names 1

  • BELLAIRE WELLNESS MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1220400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220400000000",
    "number": "1225286305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5611 BELLAIRE BLVD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815630",
            "telephone_number": "713-339-1566",
            "fax_number": "713-339-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5611 BELLAIRE BLVD",
            "address_2": "SUITE 100",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770815630",
            "telephone_number": "713-339-1566",
            "fax_number": "713-339-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLAIRE WELLNESS MANAGEMENT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-03",
        "last_updated": "2008-09-03",
        "status": "A",
        "authorized_official_last_name": "MENDEZ- CANCEL",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "713-339-1566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J7582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BELLAIRE WELLNESS MEDICAL CLINIC",
            "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 Sep 3, 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.