| Pmb Wellness Pllc | |
|
24285 Katy Fwy Ste 300 Katy TX 77494-1128 | |
| (346) 213-4707 | |
| (833) 218-8855 |
| Full Name | Pmb Wellness Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 24285 Katy Fwy Ste 300, Katy, Texas |
| Authorized Official Name and Position | Krista Lewis (PMHNP-BC) |
| Authorized Official Contact | 3462134707 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pmb Wellness Pllc 24285 Katy Fwy Ste 300 Katy TX 77494-1128 Ph: () - | Pmb Wellness Pllc 24285 Katy Fwy Ste 300 Katy TX 77494-1128 Ph: (346) 213-4707 |
| NPI Number | 1154067791 |
|---|---|
| Provider Enumeration Date | 05/06/2022 |
| Last Update Date | 03/05/2025 |
| Certification Date | 03/03/2025 |
| Medicare PECOS PAC ID | 6002344033 |
|---|---|
| Medicare Enrollment ID | O20250103002402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154067791 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Krista Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356707913 PECOS PAC ID: 3779888102 Enrollment ID: I20160223002443 |
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