Organization Active NPI

Integrative Health & Wellness, LLC

Doing business as Prime IV

  • Naturopath
  • Sugar Land, TX
National Provider Identifier
1699597104
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
Legal business name
INTEGRATIVE HEALTH & WELLNESS, LLC
Doing business as
Prime IV
Practice address
13574 University Blvd Ste 950
Sugar Land, TX 77479-6868
Phone
(281) 903-7777
NPI assigned
Oct 26, 2024
Last updated
Oct 26, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Authorized official

Name
Mr. Marcos Afonso
Title
Owner
Phone
(832) 847-3129

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
NaturopathGroup: 193400000X SINGLE SPECIALTY GROUP 175F00000X Primary

Addresses

Primary practice location

13574 University Blvd Ste 950
Sugar Land, TX 77479-6868

Mailing address

5318 Violet Ridge Dr
Richmond, TX 77469-3829
Phone (713) 392-6097

Other names 1

  • Prime IV Doing business as

National Provider Directory

National Provider Directory

Locations

13574 University Blvd
Ste 950
Sugar Land, TX 77479
Phone (281) 903-7777

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1699597104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5318 VIOLET RIDGE DR",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693829",
            "telephone_number": "713-392-6097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13574 UNIVERSITY BLVD STE 950",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774796868",
            "telephone_number": "281-903-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE HEALTH & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "AFONSO",
        "authorized_official_first_name": "MARCOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-847-3129",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Naturopath",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prime IV",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.