Provider Demographics
NPI:1790674794
Name:AMG HEALTHCARE AND WELLNESS PLLC
Entity type:Organization
Organization Name:AMG HEALTHCARE AND WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ONWER
Authorized Official - Prefix:
Authorized Official - First Name:OSA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUOBADIA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-890-4874
Mailing Address - Street 1:2700 POST OAK BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77056-5784
Mailing Address - Country:US
Mailing Address - Phone:305-890-4874
Mailing Address - Fax:
Practice Address - Street 1:2700 POST OAK BLVD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-5784
Practice Address - Country:US
Practice Address - Phone:305-890-4874
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty