Provider Demographics
NPI:1164027314
Name:ELEVATE HEALTH & WELLNESS
Entity type:Organization
Organization Name:ELEVATE HEALTH & WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP-C
Authorized Official - Prefix:
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:JEAN
Authorized Official - Last Name:GARVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-788-6493
Mailing Address - Street 1:59 RUSH HAVEN DR
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77381-3229
Mailing Address - Country:US
Mailing Address - Phone:936-788-6493
Mailing Address - Fax:844-705-0120
Practice Address - Street 1:33300 EGYPT LN STE A800
Practice Address - Street 2:
Practice Address - City:MAGNOLIA
Practice Address - State:TX
Practice Address - Zip Code:77354-2877
Practice Address - Country:US
Practice Address - Phone:936-788-6493
Practice Address - Fax:844-705-0120
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-03
Last Update Date:2022-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care