Functional Medicine & Wellness Associates PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FUNCTIONAL MEDICINE & WELLNESS ASSOCIATES PLLC

Practice address

118 Eldridge Rd Ste a
Sugar Land, TX 77478-4695

Phone

(713) 572-5311

Fax

(866) 591-1118

NPI assigned

Nov 25, 2024

Organization subpart

No

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

Authorized official

Name

Minhas Shaukat Ladiwala, FNPNPI 1568017838

Title

Owner/Family Nurse Practitioner

Phone

(713) 572-5311

Specialties & licenses 1

Addresses

Practitioners 1

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

• Minhas Shaukat Ladiwala, FNP

  • Family Nurse Practitioner
  • Katy, TX
  • NPI 1568017838
  NPD Authorized official

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

{
    "created_epoch": "1732492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1487470415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5922 SABER RIV",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774794177",
            "telephone_number": "713-572-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ELDRIDGE RD STE A",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784695",
            "telephone_number": "713-572-5311",
            "fax_number": "866-591-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUNCTIONAL MEDICINE & WELLNESS ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-25",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-24",
        "status": "A",
        "authorized_official_last_name": "LADIWALA",
        "authorized_official_first_name": "MINHAS",
        "authorized_official_middle_name": "SHAUKAT",
        "authorized_official_title_or_position": "OWNER/FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "713-572-5311",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; 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.