Personalized Wellness Management of Houston PA

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

D2109 Issued in TX

Legal business name

PERSONALIZED WELLNESS MANAGEMENT OF HOUSTON PA

Practice address

1415 S Voss Rd
Suite 200
Houston, TX 77057-1052

Phone

(713) 781-7332

NPI assigned

Jul 18, 2012

Last updated

Jul 18, 2012By 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

Albert A Yen, M.D.

Title

VP of Clinical Affairs

Phone

(713) 772-7867

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1922353747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N POST OAK RD",
            "address_2": "SUITE 204",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770243846",
            "telephone_number": "713-772-7867",
            "fax_number": "832-201-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 S VOSS RD",
            "address_2": "SUITE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770571052",
            "telephone_number": "713-781-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED WELLNESS MANAGEMENT OF HOUSTON PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "YEN",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VP OF CLINICAL AFFAIRS",
        "authorized_official_telephone_number": "713-772-7867",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "D2109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Personal Lab Services Inc
• Personal Medical Transport Services
• Personal Touch
• Personal Touch Phlebotomy LLC
• Personal Touch Therapy, LLC
• Personalmed
• David Persse, M.D.
• Perstat Medical Systems, Inc.
• David Perucca
• James F Perucho, MD

• General Practice Physician in Houston, TX
• Providers in Houston, 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 Jul 18, 2012; 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.