ANTI-AGING AND WELLNESS MD PLLC
NPI 1619730520
Family Medicine in Houston, TX

Active since February 02, 2024CLIA 45D2302042 · Waiver
11548 BELLAIRE BLVD, HOUSTON, TX 77072(281) 973-0024(281) 973-0203 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Anti-aging And Wellness Md Pllc NPPES

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

ANTI-AGING AND WELLNESS MD PLLC (NPI 1619730520), doing business as Bellaire Primary Care, is a healthcare organization registered as a family medicine in Houston, Texas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through April 2, 2028 and lists Jason T Wang, President, as its authorized official.

NPPES Registry Identity

NPI1619730520
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANTI-AGING AND WELLNESS MD PLLC
Location Address11548 BELLAIRE BLVDHouston, TX 77072-2448
Mailing Address419 Cole StWebster, TX 77598-5017 · (281) 973-0024 · Fax (281) 973-0203
Fax(281) 973-0203
Organization SubpartNo
Authorized OfficialJason T WangPresident · (281) 973-0024
Enumeration DateFebruary 2, 2024
Last NPPES UpdateFebruary 21, 2025
NPPES CertifiedFebruary 21, 2025
NPI 1619730520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

11548 BELLAIRE BLVD, Houston, TX 77072

Other Names 1

Doing Business AsBellaire Primary Care

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2302042

Anti-Aging And Wellness MD PLLC · Houston, TX
Active · expires Apr 2, 2028
CLIA Number45D2302042
Laboratory TypePhysician Office
Certificate Effective DateApril 3, 2026
Certificate Expiration DateApril 2, 2028
Laboratory DirectorJason T. Wang
Laboratory Phone(281) 973-0024
Laboratory LocationAnti-Aging And Wellness MD PLLC11548 Bellaire Blvd, Houston, TX 77072
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
11548 BELLAIRE BLVD
HOUSTON, TX 77072

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 Anti-Aging And Wellness MD PLLC's NPI number?

The NPI number for Anti-Aging And Wellness MD PLLC is 1619730520. It was assigned to this organization in the NPPES registry on February 2, 2024. The provider is doing business as Bellaire Primary Care.

Where is Anti-Aging And Wellness MD PLLC located?

Anti-Aging And Wellness MD PLLC is located at 11548 Bellaire Blvd, Houston, TX 77072. The listed phone number is (281) 973-0024.

What is Anti-Aging And Wellness MD PLLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Anti-Aging And Wellness MD PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2302042) is associated with this NPI, valid through April 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anti-Aging And Wellness MD PLLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Anti-Aging And Wellness MD PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Anti-Aging And Wellness MD PLLC was last updated on February 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.