Organization
OMNIMED FUNCTIONAL WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN MASSO DC (OWNER)
(830) 214-2211
Entity
Organization
Contact information
Practice address
17102 HIGHWAY 46 W STE 14, SPRING BRANCH, TX 78070-7120
(830) 214-2211
Mailing address
17102 HIGHWAY 46 W STE 14, SPRING BRANCH, TX 78070-7120
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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