Whalio Doctors

NPI 1053883405

Cosmedic Wellness Centers, INC

Organisation Otolaryngology Physician Granbury, TX

Practice location

Address
1030 E Hwy 377 STE 114, Granbury, TX 76048-1457
Phone
(817) 579-2660
Fax
(877) 465-6014

Authorised official

Name
Kelly Christine Krepinevich
Title
Business Manager
Phone
(817) 579-2660

Registered specialties

Otolaryngology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Registry record

NPI
1053883405
Entity type
Organization
NPI issued
26 Dec 2018
Record last updated
19 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.