| Botany Wellness, PLLC | |
|
3129 Kingsley Dr Ste 610 Pearland TX 77584-8508 | |
| (832) 987-3352 | |
| (832) 281-0853 |
| Full Name | Botany Wellness, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 3129 Kingsley Dr Ste 610, Pearland, Texas |
| Authorized Official Name and Position | Jennifer a Ukwu (OWNER) |
| Authorized Official Contact | 4695836167 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Botany Wellness, PLLC 3129 Kingsley Dr Ste 610 Pearland TX 77584-8508 Ph: (832) 987-3352 | Botany Wellness, PLLC 3129 Kingsley Dr Ste 610 Pearland TX 77584-8508 Ph: (832) 987-3352 |
| NPI Number | 1568176279 |
|---|---|
| Provider Enumeration Date | 01/09/2023 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 6002280104 |
|---|---|
| Medicare Enrollment ID | O20230313000499 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568176279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Latoya D Abernathy |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1083940712 PECOS PAC ID: 3476748799 Enrollment ID: I20130717000083 |
| Provider Name | Jennifer a Ukwu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1316324452 PECOS PAC ID: 2062705510 Enrollment ID: I20180808000459 |
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