Organization Active NPI

Primary Health & Wellness Center, LLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1659743672
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129433 Issued in TX
Legal business name
PRIMARY HEALTH & WELLNESS CENTER, LLC
Practice address
13445 I 10 E
Houston, TX 77015-5901
Phone
(713) 451-9911
Fax
(713) 451-4573
NPI assigned
Oct 29, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Authorized official

Name
Donald Hund, NP-CNPI 1104851757
Title
Member
Phone
(713) 451-9911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP129433 TX Primary

Addresses

Primary practice location

13445 I 10 E
Houston, TX 77015-5901

Mailing address

13445 I 10 E
Houston, TX 77015-5901
Phone (713) 451-9911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151221002134 TX Part B Supplier - Clinic/Group Practice 4587965389 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

13445 I 10 E
Houston, TX 77015
Phone (713) 451-9911

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446076800000",
    "number": "1659743672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13445 I 10 E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155901",
            "telephone_number": "713-451-9911",
            "fax_number": "713-451-4573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13445 I 10 E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770155901",
            "telephone_number": "713-451-9911",
            "fax_number": "713-451-4573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY HEALTH & WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A",
        "authorized_official_last_name": "HUND",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "713-451-9911",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.