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AGRARIAN WELLNESS, LLC
NPI 1174035778
Nurse Practitioner - Women's Health in Houston, TX

Active since November 04, 2017
17000 EL CAMINO REAL STE 209, HOUSTON, TX 77058(832) 284-4328(832) 284-4728 Get Directions Write a Review

NPPES record last updated: June 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Agrarian Wellness, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGRARIAN WELLNESS, LLC (NPI 1174035778) is a healthcare organization registered as a women's health in Houston, Texas and active in the NPI registry since November 2017. The organization maintains a secondary practice location in Houston and lists Latia Hickerson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174035778
Entity TypeOrganization
Primary Taxonomy363LW0102X
Legal Business NameAGRARIAN WELLNESS, LLC
Location Address17000 EL CAMINO REAL STE 209Houston, TX 77058
Mailing Address17000 El Camino Real Ste 209Houston, TX 77058-2633 · (832) 284-4328 · Fax (832) 284-4728
Phone(832) 284-4328
Fax(832) 284-4728
Organization SubpartNo
Authorized OfficialLatia HickersonOwner · (832) 930-6345
Enumeration DateNovember 4, 2017
Last NPPES UpdateJune 6, 2018
✔ NPI 1174035778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
Also ListedRegistered Nurse · Lactation ConsultantTaxonomy 163WL0100X
17000 EL CAMINO REAL STE 209, Houston, TX 77058
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Secondary Practice Location 1

Location 1202 Woodcombe DrHouston, TX 77062-2538 · Phone (386) 747-5511

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agrarian Wellness, LLC's NPI number?

The NPI number for Agrarian Wellness, LLC is 1174035778. It was assigned to this organization in the NPPES registry on November 4, 2017.

Where is Agrarian Wellness, LLC located?

Agrarian Wellness, LLC is located at 17000 El Camino Real Ste 209, Houston, TX 77058. The listed phone number is (832) 284-4328.

What is Agrarian Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

When was this NPI record last updated?

The NPPES record for Agrarian Wellness, LLC was last updated on June 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.