# THE WELLNESS MANAGEMENT GROUP

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

## Provider details

- **NPI number:** 1962648006
- **Authorized official:** MR. LAMONT RATCLIFF (DIRECTOR)
- **Authorized official phone:** (713) 524-4803

## Contact information

- **Practice address:** 2404 CAROLINE ST, HOUSTON, TX 77004-1016
- **Practice address phone:** (713) 524-4803
- **Practice address fax:** (713) 524-4801
- **Mailing address:** 2404 CAROLINE ST, HOUSTON, TX 77004-1016
- **Mailing address phone:** (713) 524-4803
- **Mailing address fax:** (713) 524-4801

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | G7943 | TX | — |
| 208100000X | Physical Medicine & Rehabilitation Physician | G7943 | TX | — |
| 2085R0202X | Diagnostic Radiology Physician | G7943 | TX | — |
| 208D00000X | General Practice Physician | G7943 | TX | Yes |

## Other

- **Enumeration date:** 12/19/2008
- **Last updated:** 01/05/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 129726905 | — | TX |