# MIND-BODY WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649703356
- **Authorized official:** DR. DAVID C VAJNAR M.D. (OWNER)
- **Authorized official phone:** (318) 625-2789

## Contact information

- **Practice address:** 1213 TEXAS AVE, ALEXANDRIA, LA 71301-4838
- **Practice address phone:** (318) 625-2789
- **Mailing address:** 1213 TEXAS AVE, ALEXANDRIA, LA 71301-4838
- **Mailing address phone:** (318) 625-2789

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 023513 | LA | Yes |

## Other

- **Enumeration date:** 04/10/2017
- **Last updated:** 04/10/2017