Organization
TEXAS INTEGRATIVE WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARYAM M QAYUM MD (OWNER/PROVIDER)
(713) 493-7777
Entity
Organization
Contact information
Practice address
21660 KINGSLAND BLVD STE 200, KATY, TX 77450-2511
(713) 493-7777
Mailing address
21660 KINGSLAND BLVD STE 200, KATY, TX 77450-2511
(713) 493-7777
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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