Organization
MIREVA WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCES AMBER TYSOB (OWNER)
(281) 595-0949
Entity
Organization
Contact information
Practice address
17300 EL CAMINO REAL STE 110D, HOUSTON, TX 77058-2715
(281) 595-0949
(888) 331-2054
Mailing address
1000 MAIN ST STE 2300, HOUSTON, TX 77002-6353
(281) 595-0949
(888) 331-2054
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
05/23/2025
Last updated
06/21/2025
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