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Organization
COMMUNITY WELLNESS CLINIC, LLP
Active
Organization
COMMUNITY WELLNESS CLINIC, LLP
Active
Other names
Community Wellness Clinic Family Planning Services Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KERRY GREGORY (VICE-PRESIDENT)
(936) 760-2797
Entity
Organization
Contact information
Practice address
201 ENTERPRISE ROW, SUITE 12, CONROE, TX 77301-4448
(936) 760-2784
(936) 760-1950
Mailing address
201 ENTERPRISE ROW, SUITE 12, CONROE, TX 77301-4448
(936) 760-2784
(936) 760-1950
Taxonomy
Speciality
Code
Description
License number
State
261QA0005X
Ambulatory Family Planning Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018986205
—
TX
Enumeration date
03/30/2016
Last updated
08/17/2020
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