Organization
COMMUNITY WELLNESS CLINIC, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARLA GREGORY (N/A)
(936) 760-2784
Entity
Organization
Contact information
Practice address
201 ENTERPRISE ROW, SUITE 12, CONROE, TX 77301-4448
(936) 760-2784
(936) 760-1950
Mailing address
201 ENTERPRISE ROW STE 12, CONROE, TX 77301-4448
(936) 760-2784
(936) 760-1950
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
J4636
TX
261QP0905X
State or Local Public Health Clinic/Center
Primary
BZ3718105
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018986203
—
TX
05
—
018986204
—
TX
Enumeration date
09/02/2011
Last updated
06/20/2022
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