Organization
ADVANCED LIFE WELLNESS INSTITUTE
Active
Other names
ALWII
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE LUONG (DIRECTOR)
(713) 802-2883
Entity
Organization
Contact information
Practice address
1917 ASHLAND ST STE 2888, HOUSTON, TX 77008-3907
(713) 802-2883
(186) 676-0055
Mailing address
1917 ASHLAND ST STE 2888, HOUSTON, TX 77008-3907
(713) 802-2883
(186) 676-0055
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
F9771
TX
302R00000X
Health Maintenance Organization
Primary
G7070
TX
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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