# WHOLELIFE H FAMILY PRACTICE PLLC

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

## Provider details

- **NPI number:** 1720909609
- **Authorized official:** ANNE N MUTUA FNP (NURSE PRACTITIONER)
- **Authorized official phone:** (956) 336-6384

## Contact information

- **Practice address:** 1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
- **Practice address phone:** (682) 392-0009
- **Mailing address:** 1560 E SOUTHLAKE BLVD STE 100, SOUTHLAKE, TX 76092-6462
- **Mailing address phone:** (682) 392-0009
- **Mailing address fax:** (641) 323-5195

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/24/2026
- **Last updated:** 07/24/2026