# THE WELLNESS DOC INTEGRATIVE MEDICINE, PLLC

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

## Provider details

- **NPI number:** 1609575703
- **Authorized official:** ALEXIA MCCLERKIN NP (OWNER)
- **Authorized official phone:** (832) 844-1754

## Contact information

- **Practice address:** 2636 S LOOP W STE 105, HOUSTON, TX 77054-2402
- **Practice address phone:** (832) 844-1754
- **Mailing address:** 2636 S LOOP W STE 105, HOUSTON, TX 77054-2402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 02/27/2023
- **Last updated:** 02/27/2023