Organization
THE WELLNESS STATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PUNNAM STEPHAN NP (OWNER)
(972) 532-6214
Entity
Organization
Contact information
Practice address
123 AUTUMN SAGE DR, WYLIE, TX 75098-3815
(972) 532-6214
Mailing address
123 AUTUMN SAGE DR, WYLIE, TX 75098-3815
(972) 532-6214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/10/2025
Last updated
12/10/2025
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