Advanced Life Wellness Institute, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

ADVANCED LIFE WELLNESS INSTITUTE, INC.

Doing business as

Alwii

Practice address

1917 Ashland St # 2888
In Select Specialty Hospital
Houston, TX 77008-3907

Phone

(713) 802-2883

Fax

(713) 802-2884

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Li

Title

Chief Administrative Officer

Phone

(713) 802-2883

Specialties & licenses 1

Addresses

Other names 1

• ALWII Doing business as

Tax ID family

Advanced Life Wellness Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Life Wellness Institute

  • Health Maintenance Organization
  • Houston, TX
  • NPI 1215273255
  NPD tax ID

Locations

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395100800000",
    "number": "1538586383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 ASHLAND ST # 2888",
            "address_2": "IN SELECT SPECIALTY HOSPITAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083907",
            "telephone_number": "713-802-2883",
            "fax_number": "713-802-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1917 ASHLAND ST # 2888",
            "address_2": "IN SELECT SPECIALTY HOSPITAL",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770083907",
            "telephone_number": "713-802-2883",
            "fax_number": "713-802-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED LIFE WELLNESS INSTITUTE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "713-802-2883"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALWII",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Advanced Medical Associates
• Advanced Medical Management, LLC
• Advanced Medical Transportation LLC

• General Practice Physician in Houston, TX
• Providers in Houston, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.