Provider Demographics
NPI:1861286726
Name:PHOENIX ASCENSION HEALTH AND WELLNESS CENTER
Entity type:Organization
Organization Name:PHOENIX ASCENSION HEALTH AND WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:BARBESHELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-325-2173
Mailing Address - Street 1:8389 ALMEDA RD STE H1
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77054-7105
Mailing Address - Country:US
Mailing Address - Phone:713-325-2173
Mailing Address - Fax:713-325-2279
Practice Address - Street 1:8389 ALMEDA RD STE H1
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77054-7105
Practice Address - Country:US
Practice Address - Phone:713-325-2173
Practice Address - Fax:713-325-2279
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty