Active NPI
Health & Wellness Clinic, PA
- Family Medicine Physician
- Katy, TX
National Provider Identifier
1851415020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- L2086
- Legal business name
- HEALTH & WELLNESS CLINIC, PA
- Practice address
- 23920 Katy Fwy Ste 550
Katy, TX 77494-0883 - Phone
- (281) 665-8498
- Fax
- (281) 665-8503
- NPI assigned
- Mar 16, 2007
- 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
- Dr. Ahmad-Rabia Sulaiman Al-Khush, M.D.
- Title
- President
- Phone
- (281) 665-8498
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L2086 | TX | Primary |
Addresses
Primary practice location
23920 Katy Fwy Ste 550
Katy, TX 77494-0883
Mailing address
23920 Katy Fwy Ste 550
Katy, TX 77494-0883
Phone (281) 665-8498
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 154488401 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
705 S Fry Rd
Ste 225
Katy, TX 77450
Phone (281) 492-7062
23920 Katy Fwy
Ste 550
Katy, TX 77494
Phone (281) 371-3338
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Katy, TX
- NPI 1821080714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680048000000",
"number": "1851415020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23920 KATY FWY STE 550",
"city": "KATY",
"state": "TX",
"postal_code": "774940883",
"telephone_number": "281-665-8498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23920 KATY FWY STE 550",
"city": "KATY",
"state": "TX",
"postal_code": "774940883",
"telephone_number": "281-665-8498",
"fax_number": "281-665-8503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH & WELLNESS CLINIC, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-16",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A",
"authorized_official_last_name": "AL-KHUSH",
"authorized_official_first_name": "AHMAD-RABIA",
"authorized_official_middle_name": "SULAIMAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "281-665-8498",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "TX",
"license": "L2086",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "154488401",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.