NPIMap

Organization Active NPI

Wellness Willows Holistic Health Retreat Inc

  • Oxygen Equipment & Supplies (DME)
  • Waller, TX
National Provider Identifier
1609100031
Registry record updated Oct 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC
Practice address
16445 Mathis Rd
Waller, TX 77484-5397
Phone
(936) 931-3324
Fax
(832) 553-7973
NPI assigned
Oct 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2009

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

Authorized official

Name
Dr. Brian Lee Murray-Wachtedorf I, PSY.D., LPC
Title
Facility Director
Phone
(936) 931-3324

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X TX Primary

Addresses

Primary practice location

16445 Mathis Rd
Waller, TX 77484-5397

Mailing address

16445 Mathis Rd
Waller, TX 77484-5397
Phone (936) 931-3324

Other names 1

  • Wellness Willows SleepQuip Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1254441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254441600000",
    "number": "1609100031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16445 MATHIS RD",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774845397",
            "telephone_number": "936-931-3324",
            "fax_number": "832-553-7973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16445 MATHIS RD",
            "city": "WALLER",
            "state": "TX",
            "postal_code": "774845397",
            "telephone_number": "936-931-3324",
            "fax_number": "832-553-7973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS WILLOWS HOLISTIC HEALTH RETREAT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-02",
        "last_updated": "2009-10-02",
        "status": "A",
        "authorized_official_last_name": "MURRAY-WACHTEDORF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "936-931-3324",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "PSY.D., LPC"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Willows SleepQuip",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2009; 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.