Promedical & Wellness PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PROMEDICAL & WELLNESS PLLC

Practice address

525 Woodland Square Blvd Ste 250
Conroe, TX 77384-2212

Phone

(832) 899-4353

Fax

(832) 899-4913

NPI assigned

Mar 29, 2021

Organization subpart

No

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

Authorized official

Name

Ngozi Ladokun, FNP-CNPI 1649784554

Title

Owner

Phone

(832) 899-4353

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Practitioners 1

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

• Ngozi Grace Ladokun, FNP-C

  • Family Nurse Practitioner
  • Conroe, TX
  • NPI 1649784554
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1616976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1457938979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11971 N GRAND PKWY E STE 200",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773571828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 WOODLAND SQUARE BLVD STE 250",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773842212",
            "telephone_number": "832-899-4353",
            "fax_number": "832-899-4913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROMEDICAL & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-29",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "LADOKUN",
        "authorized_official_first_name": "NGOZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-899-4353",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Conroe, TX
• Providers in Conroe, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.