Organization
WELLNOVA GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANIA EDLEBI (MEMBER)
(713) 497-1171
Entity
Organization
Contact information
Practice address
5161 SAN FELIPE ST STE 320-18, HOUSTON, TX 77056-3633
(713) 497-1171
Mailing address
5161 SAN FELIPE ST STE 320-18, HOUSTON, TX 77056-3633
(713) 497-1171
Taxonomy
Speciality
Code
Description
License number
State
246ZE0500X
EEG Specialist/Technologist
Primary
—
—
305S00000X
Point of Service
—
—
Other
Enumeration date
09/19/2018
Last updated
09/25/2018
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