# PERSONALIZED WELLNESS MANAGEMENT OF HOUSTON PA

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

## Provider details

- **NPI number:** 1922353747
- **Authorized official:** ALBERT A YEN M.D. (VP OF CLINICAL AFFAIRS)
- **Authorized official phone:** (713) 772-7867

## Contact information

- **Practice address:** 1415 S VOSS RD, SUITE 200, HOUSTON, TX 77057-1052
- **Practice address phone:** (713) 781-7332
- **Mailing address:** 710 N POST OAK RD, SUITE 204, HOUSTON, TX 77024-3846
- **Mailing address phone:** (713) 772-7867
- **Mailing address fax:** (832) 201-9192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | D2109 | TX | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 07/18/2012