B-Dex Family Clinic Wellness & Med Spa LLC
Organization Active NPI Family Nurse Practitioner · Rosenberg, TX
NPI 1316797145 · NPPES record last updated Mar 27, 2025
Key facts
- NPI
- 1316797145
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- Legal business name
- B-DEX FAMILY CLINIC WELLNESS & MED SPA LLC
- Practice address
- 451 Minonite Rd Ste 170
Rosenberg, TX 77469-7520 - Phone
- (346) 220-3534
- NPI assigned
- Mar 25, 2024
- Organization subpart
- No
Authorized official
- Name
- Eucharia Anyichie
- Title
- Administrator
- Phone
- (346) 220-3534
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2313625 | B-Dex Family Clinic Wellness & Med Spa | Certificate of waiver | Nov 3, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250501000968 | TX | Part B Supplier - Clinic/Group Practice | 7416473566 |
Receives reassigned benefits from 1 practitioner Practice locations: Rosenberg, TX |
National Provider Directory
Locations
451 Minonite Rd
Ste 170
Rosenberg, TX 77469
Phone (832) 244-9299
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | |||
| Family Nurse Practitioner |
363LF0000X | Yes |
Addresses
Primary practice location
451 Minonite Rd Ste 170
Rosenberg, TX 77469-7520
Mailing address
451 Minonite Rd Ste 170
Rosenberg, TX 77469-7520
Other providers in Rosenberg, TX
- Aveeana Home Care LLC
- Omolola Ayeni
- Elaine Ayinde
- Oluwatobi Ayoade
- Rukayat Ayodele
- Julathra Kay Baeza
- Faiza Baig
- Thelma Parker Baines
- Daniel Robert Baker
- Evelyn Lorena Balleza
All providers in Rosenberg, TX · Family Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.