# TEXAS INTEGRATIVE WELLNESS PLLC

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

## Provider details

- **NPI number:** 1770107542
- **Authorized official:** DR. MARYAM M QAYUM MD (OWNER/PROVIDER)
- **Authorized official phone:** (713) 493-7777

## Contact information

- **Practice address:** 21660 KINGSLAND BLVD STE 200, KATY, TX 77450-2511
- **Practice address phone:** (713) 493-7777
- **Mailing address:** 21660 KINGSLAND BLVD STE 200, KATY, TX 77450-2511
- **Mailing address phone:** (713) 493-7777

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/08/2020
- **Last updated:** 06/08/2020