Texas Integrative Wellness PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

TEXAS INTEGRATIVE WELLNESS PLLC

Practice address

21660 Kingsland Blvd Ste 200
Katy, TX 77450-2511

Phone

(713) 493-7777

NPI assigned

Jun 8, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Maryam M Qayum, MD

Title

Owner/Provider

Phone

(713) 493-7777

Specialties & licenses 1

Addresses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24088/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1770107542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21660 KINGSLAND BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502511",
            "telephone_number": "713-493-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21660 KINGSLAND BLVD STE 200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502511",
            "telephone_number": "713-493-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS INTEGRATIVE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "QAYUM",
        "authorized_official_first_name": "MARYAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "713-493-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Katy, TX
• Providers in Katy, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2020; 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.