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

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2313625B-Dex Family Clinic Wellness & Med Spa
451 Minonite Rd Ste # 170, Rosenberg, TX 77469
Certificate of waiverNov 3, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in TX

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse Practitioner
Group: 193200000X MULTI-SPECIALTY GROUP
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

All providers in Rosenberg, TX · Family Nurse Practitioner in Texas

Sources for this page

Verify at the official NPI Registry.