# KOPEC FUNCTIONAL WELLNESS, LLC

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

## Provider details

- **NPI number:** 1912704578
- **Authorized official:** LAURA KOPEC (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (972) 942-4039

## Contact information

- **Practice address:** 2301 OHIO DR STE 200, PLANO, TX 75093-3902
- **Practice address phone:** (972) 942-4039
- **Mailing address:** 2301 OHIO DR STE 200, PLANO, TX 75093-3902

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | — | NULL | Yes |
| 363LA2200X | Adult Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2025
- **Last updated:** 02/28/2025