Organization
THE WELLNESS MANAGEMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAMONT RATCLIFF (DIRECTOR)
(713) 524-4803
Entity
Organization
Contact information
Practice address
2404 CAROLINE ST, HOUSTON, TX 77004-1016
(713) 524-4803
(713) 524-4801
Mailing address
2404 CAROLINE ST, HOUSTON, TX 77004-1016
(713) 524-4803
(713) 524-4801
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G7943
TX
208100000X
Physical Medicine & Rehabilitation Physician
G7943
TX
2085R0202X
Diagnostic Radiology Physician
G7943
TX
208D00000X
General Practice Physician
Primary
G7943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129726905
—
TX
Enumeration date
12/19/2008
Last updated
01/05/2009
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