CUSTOMIZED WELLNESS LLC – NPI #1619747961
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

CUSTOMIZED WELLNESS LLC is a provider located in ROSHARON, TX. NPPES has assigned the NPI number 1619747961 to CUSTOMIZED WELLNESS LLC on January 08, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CUSTOMIZED WELLNESS LLC below.

NPI Profile for
CUSTOMIZED WELLNESS LLC

NPI Number
1619747961
Enumeration Date

(more than 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CUSTOMIZED WELLNESS LLC
Primary location
8421 FM 521
SUITE D
ROSHARON, TX 77583
Phone: (346) 582-3945 Fax:
Mailing address
54 HOPE FARM RD
MISSOURI CITY, TX 77459-2480
Phone: (832) 785-3347 Fax:
Organization Subpart
No
Authorized Official
CHELSEA CHUKWUNYERE
CLINICIAN
Phone: (832) 785-3347
Updated
Certification Date
Jan 05, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.