Bird Dog Wellness
LBN: Bird Dog Pharma, Llc
Bird Dog Wellness is an health care organization with primary practice located at 12242 Queenston Blvd Ste E , Houston TX 77095-5353. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Laboratories / Physiological Laboratory. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Bird Dog Pharma, Llc can be contacted via phone (713) 252-3579, or through Gilbert, Johnny via phone (713) 252-3579.
Contact Information
Primary practice address
12242 Queenston Blvd Ste E
Houston TX 77095-5353
Phone: (713) 252-3579
Fax: (800) 434-7514
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Laboratories / Physiological Laboratory | 293D00000X |
Profile Details
| NPI number | 1124488085 |
|---|---|
| LBN Legal business name | Bird Dog Pharma, Llc |
| DBA Doing business as | Bird Dog Wellness |
| Authorized official | Gilbert, Johnny |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 3rd, 2016 |
| Last updated | Dec 11th, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124488085 | NPPES |
| Texas | MEDICAID | 367518303 | |
| Texas | MEDICAID | 367518301 |
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