Active NPI
Texas Center of Wellness
- Community/Behavioral Health Agency
- Houston, TX
National Provider Identifier
1629494810
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TEXAS CENTER OF WELLNESS
- Practice address
- 1441 Wood Hollow Dr Apt 27304
Houston, TX 77057-1646 - Phone
- (337) 344-0186
- NPI assigned
- Mar 12, 2014
- 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
- Kendall James Broussard
- Title
- Director
- Phone
- (337) 344-0186
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cognitive & Behavioral Psychologist | 103TB0200X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1441 Wood Hollow Dr Apt 27304
Houston, TX 77057-1646
Mailing address
1441 Wood Hollow Dr Apt 27304
Houston, TX 77057-1646
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1394582400000",
"number": "1629494810",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 WOOD HOLLOW DR APT 27304",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 WOOD HOLLOW DR APT 27304",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770571646",
"telephone_number": "337-344-0186"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TEXAS CENTER OF WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-12",
"last_updated": "2014-03-12",
"status": "A",
"authorized_official_last_name": "BROUSSARD",
"authorized_official_first_name": "KENDALL",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "337-344-0186"
},
"taxonomies": [
{
"code": "103TB0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Cognitive & Behavioral",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Texas Care Oasis, LLC
- Texas Care Pharmacy LLC (Texas Care Pharmacy)
- Texas Center for Hearing AIDS Inc
- Texas Center for Human Advancement
- Texas Center for Pain Management, PA
- Texas Children Hospital
- Texas Children's Hospital
- Texas Children's Hospital (Texas Children's Hospital West Campus)
- Texas Children's Hospital
- Texas Children's Hospital Pharmacy-Southwest (Texas Children's Infusion Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 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.