Organization Active NPI

Fast Clinic Wellness Center LLC

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1922802214
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAST CLINIC WELLNESS CENTER LLC
Practice address
1809 Eldridge Pkwy Ste 208
Houston, TX 77077-2549
Phone
(281) 679-9500
Fax
(888) 375-3461
NPI assigned
Apr 3, 2025
Last updated
Apr 3, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Authorized official

Name
Ms. Liena Nicolau Alvarez, FNPNPI 1821684119
Title
Manager
Phone
(281) 679-9500

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 Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1809 Eldridge Pkwy Ste 208
Houston, TX 77077-2549

Mailing address

1809 Eldridge Pkwy Ste 208
Houston, TX 77077-2549
Phone (281) 679-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603001487 TX Part B Supplier - Clinic/Group Practice 1355850199 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2188842Fast Clinic LLC1809 Eldridge Parkway Ste 208, Houston, TX 77077Certificate of waiverJul 21, 2026

National Provider Directory

National Provider Directory

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": "1743638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743638400000",
    "number": "1922802214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 ELDRIDGE PKWY STE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772549",
            "telephone_number": "281-679-9500",
            "fax_number": "888-375-3461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1809 ELDRIDGE PKWY STE 208",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770772549",
            "telephone_number": "281-679-9500",
            "fax_number": "888-375-3461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST CLINIC WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-03",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A",
        "authorized_official_last_name": "NICOLAU ALVAREZ",
        "authorized_official_first_name": "LIENA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "281-679-9500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "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 Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.