Organization
ANBAP WELLNESS LLC
Active
Parent organization
ANBAP WLLNESS LLC
Other names
Optimum Medical Weight Control and Family Wellness
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANBAP WLLNESS LLC
Authorized official
MR. KEVIN G MORGAN FNP-BC (OWNER)
(409) 221-8294
Entity
Organization
Contact information
Practice address
1001 NEDERLAND AVE, NEDERLAND, TX 77627-2832
(409) 221-8294
Mailing address
560 LARRY WARD, BRIDGE CITY, TX 77611-2432
(409) 221-8294
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
758246
TX
Other
Enumeration date
09/03/2014
Last updated
09/08/2014
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