Provider Demographics
NPI:1174928550
Name:FIANT WELLNESS GROUP
Entity type:Organization
Organization Name:FIANT WELLNESS GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SPRINTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:713-714-1399
Mailing Address - Street 1:9303 PINECROFT DR
Mailing Address - Street 2:SUITE 320
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-3181
Mailing Address - Country:US
Mailing Address - Phone:713-714-1399
Mailing Address - Fax:713-389-5798
Practice Address - Street 1:9303 PINECROFT DR
Practice Address - Street 2:SUITE 320
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3181
Practice Address - Country:US
Practice Address - Phone:713-714-1399
Practice Address - Fax:713-389-5798
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-28
Last Update Date:2015-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXP0796207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty