Organization
KINGWOOD HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON DEMATTIA M.D. (MEDICAL SUPERVISOR)
(281) 852-1800
Entity
Organization
Contact information
Practice address
1543 GREEN OAK PL, KINGWOOD, TX 77339-2007
(281) 852-1800
Mailing address
1543 GREEN OAK PL, KINGWOOD, TX 77339-2007
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AP128724
TX
Other
Enumeration date
06/07/2016
Last updated
06/07/2016
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