Organization
COSMEDIC WELLNESS CENTERS, INC
Active
Parent organization
COSMEDIC WELLNESS CENTERS, INC
Other names
Elite Med Spa
Organization subpart
Yes
Provider details
NPI number
Legal business name
COSMEDIC WELLNESS CENTERS, INC
Authorized official
KELLY CHRISTINE KREPINEVICH (BUSINESS MANAGER)
(817) 579-2660
Entity
Organization
Contact information
Practice address
1030 E HWY 377 STE 114, GRANBURY, TX 76048-1457
(817) 579-2660
(877) 465-6014
Mailing address
1030 E HWY 377 STE 114, GRANBURY, TX 76048-1457
(817) 579-2660
(877) 456-6014
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
12/26/2018
Last updated
03/19/2024
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