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Contact Information

MIBOHE WELLNESS INCORPORATED
501 S AUSTIN AVE
BLDG 2 SUITE 202
GEORGETOWN, TX78626-5637
 Phone: 512-686-1107
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Health Educator

174H00000X
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for MIBOHE WELLNESS INCORPORATED

NPI Number 1720347792
LBN Legal business name MIBOHE WELLNESS INCORPORATED
Authorized official HEATHER LOYO - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 05/11/2012
Last updated 05/11/2012 - About 14 years ago
Identifiers
TX License # ME2351
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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