Organization
INCLUSIVE WELLNESS & REHABILITATION PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD A GREEN MD (MEMBER)
(713) 370-2274
Entity
Organization
Contact information
Practice address
6550 MAPLERIDGE ST STE 115, HOUSTON, TX 77081-4629
(713) 370-2274
Mailing address
5644 WESTHEIMER RD # 347, HOUSTON, TX 77056-4002
(832) 407-2276
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
L6405
TX
207R00000X
Internal Medicine Physician
L6405
TX
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
L6405
TX
208D00000X
General Practice Physician
L6405
TX
261QM1300X
Multi-Specialty Clinic/Center
Primary
801599338
TX
Other
Enumeration date
05/22/2012
Last updated
05/22/2012
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