# PREVENTIVE HEALTH & WELLNESS GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508801119
- **Authorized official:** DEVITA J DAVIS (ADMINISTRATOR)
- **Authorized official phone:** (281) 444-5151

## Contact information

- **Practice address:** 14219 BRENTSHIRE LN, HOUSTON, TX 77069-1441
- **Practice address phone:** (832) 249-6200
- **Practice address fax:** (832) 249-9205
- **Mailing address:** 14219 BRENTSHIRE LN, HOUSTON, TX 77069-1441
- **Mailing address phone:** (800) 742-2368
- **Mailing address fax:** (937) 291-2962

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0200X | Radiology Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/22/2020