NPI 1528680915

Pure Integrative Wellness and Hydration LLC

Organisation Pediatrics Physician Tuscaloosa, AL

Practice location

Address: 2703 University Blvd E STE B, Tuscaloosa, AL 35404-3226
Phone: (205) 248-7064
Fax: (205) 523-7158

Authorised official

Name: Lisa Gabrielle Smith
Title: Business Manager
Phone: (601) 490-1723

Registered specialties (2)

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X

Other Pediatrics providers in Alabama →

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X

Other Nurse Practitioner providers in Alabama →

Registry record

NPI: 1528680915
Entity type: Organization
NPI issued: 8 May 2020
Record last updated: 8 May 2020

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.