Organization
ACCELERATED WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYNA IACOVIELLO (BILLING MANAGER)
(732) 935-1000
Entity
Organization
Contact information
Practice address
9798 BELLAIRE BLVD, HOUSTON, TX 77036-3427
(713) 777-7888
Mailing address
9798 BELLAIRE BLVD, HOUSTON, TX 77036-3427
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8295
STATE LICENSE
TX
Enumeration date
02/17/2022
Last updated
03/16/2022
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