Glow Aesthetics and Wellness LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GLOW AESTHETICS AND WELLNESS LLC

Practice address

11300 Katy Fwy Ste B-625
Houston, TX 77043-4778

Phone

(832) 649-7939

NPI assigned

Jul 8, 2025

Organization subpart

No

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

Authorized official

Name

Phoung Pham, FNP

Title

Ceo

Phone

(832) 649-7939

Specialties & licenses 1

Addresses

Other names 1

• SKIN101 Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Phuong Pham, FNP-C

  • Family Nurse Practitioner
  • Houston, TX
  • NPI 1386090280
  NPD

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

{
    "created_epoch": "1751932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751932800000",
    "number": "1902796261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11300 KATY FWY STE B-625",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434778",
            "telephone_number": "832-649-7939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11300 KATY FWY STE B-625",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770434778",
            "telephone_number": "832-649-7939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLOW AESTHETICS AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-08",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A",
        "authorized_official_last_name": "PHAM",
        "authorized_official_first_name": "PHOUNG",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-649-7939",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SKIN101",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael Glover, MD
• Miriam Arona Glover, CRNA
• Sandra Joy Glover, LPC INTERN
• Sharon Gale Glover, R.N.
• Stephanie Danielle Glover
• Glow Dermatology, PLLC
• Glowell, LLC
• Rebecca Michelle Glowinski, MD
• Roosevelt Gloyd III, OD
• Glucare Corporation

• Family Nurse Practitioner in Houston, TX
• Providers in Houston, TX by specialty
• Family Nurse Practitioner in Texas

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