Active NPI
The Ultimate Wellness Group
- Family Medicine Physician
- Pearland, TX
National Provider Identifier
1598058885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- K7161
- Legal business name
- THE ULTIMATE WELLNESS GROUP
- Practice address
- 12400 Shadow Creek Pkwy
Unit 3306
Pearland, TX 77584-7347 - Phone
- (832) 429-4576
- NPI assigned
- May 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Akili Graham, MD
- Title
- Owner
- Phone
- (832) 429-4576
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | K7161 | TX | Primary |
Addresses
Primary practice location
12400 Shadow Creek Pkwy
Unit 3306
Pearland, TX 77584-7347
Mailing address
6614 Stearns St
Houston, TX 77021-2418
Phone (832) 429-4576
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305763200000",
"number": "1598058885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6614 STEARNS ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770212418",
"telephone_number": "832-429-4576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12400 SHADOW CREEK PKWY",
"address_2": "UNIT 3306",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775847347",
"telephone_number": "832-429-4576"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ULTIMATE WELLNESS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-19",
"last_updated": "2011-05-19",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "AKILI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-429-4576",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "K7161",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.