Organization Active NPI

Texas Regenerative Wellness PLLC

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1801780044
Registry record updated Jun 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
TEXAS REGENERATIVE WELLNESS PLLC
Practice address
7700 Main St Ste 429
Houston, TX 77030-4456
Phone
(281) 721-4005
Fax
(281) 721-4520
NPI assigned
Jun 4, 2025
Last updated
Jun 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2025

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

Authorized official

Name
Ra'Kerry Rahman, MDNPI 1972752228
Title
Owner
Phone
(646) 422-9498

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 Practitioner 363LF0000X NU Primary

Addresses

Primary practice location

7700 Main St Ste 429
Houston, TX 77030-4456

Mailing address

7700 Main St Ste 429
Houston, TX 77030-4456
Phone (281) 721-4005

National Provider Directory

National Provider Directory

Locations

7700 Main St
Ste 429
Houston, TX 77030
Phone (281) 721-4005

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1748995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748995200000",
    "number": "1801780044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 MAIN ST STE 429",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304456",
            "telephone_number": "281-721-4005",
            "fax_number": "281-721-4520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 MAIN ST STE 429",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770304456",
            "telephone_number": "281-721-4005",
            "fax_number": "281-721-4520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS REGENERATIVE WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-04",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "RA'KERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-422-9498",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "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 Jun 4, 2025; 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.