Austin Connect to Wellness - Houston LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

AUSTIN CONNECT TO WELLNESS - HOUSTON LLC

Practice address

21765 Merchants Way
Katy, TX 77449-2511

Phone

(512) 898-9044

NPI assigned

Jul 3, 2024

Last updated

Jul 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessie Smedley

Title

Chief Executive Officer

Phone

(512) 898-9044

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1902642424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 151716",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787151716",
            "telephone_number": "512-898-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21765 MERCHANTS WAY",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774492511",
            "telephone_number": "512-898-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUSTIN CONNECT TO WELLNESS - HOUSTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SMEDLEY",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "512-898-9044"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Katy, TX
• Providers in Katy, TX by specialty
• Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.