Organization Active NPI

Wellness Center

  • Family Health Clinical Nurse Specialist
  • Humble, TX
National Provider Identifier
1366791311
Registry record updated Sep 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X
License
777525 Issued in TX
Legal business name
WELLNESS CENTER
Practice address
3525 FM 1960 Rd East
Humble, TX 77338
Phone
(281) 540-1018
Fax
(281) 540-7581
NPI assigned
Sep 6, 2012
Organization subpart
Yes
Parent organization
ADVANCED MEDICAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2012

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

Authorized official

Name
Marvin Watson, NP
Title
Owner
Phone
(281) 540-1018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SF0001X 777525 TX Primary

Addresses

Primary practice location

3525 FM 1960 Rd East
Humble, TX 77338

Mailing address

3525 FM 1960 Rd East
Humble, TX 77338
Phone (281) 540-1018

National Provider Directory

National Provider Directory
Part of
Wellness Center

NPI Registry JSON

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346889600000",
    "number": "1366791311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 FM 1960 RD EAST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-540-1018",
            "fax_number": "281-540-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 FM 1960 RD EAST",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "77338",
            "telephone_number": "281-540-1018",
            "fax_number": "281-540-7581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ADVANCED MEDICAL LLC",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-540-1018",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "TX",
            "license": "777525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.