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Organization

COLLABORATIVE WELLNESS CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. FLATASHA ALLEAN ROLAND CRNA, MSNA (OWNER)
(817) 875-8343
Entity
Organization

Contact information

Practice address
1124 GLADE RD STE 120, COLLEYVILLE, TX 76034-4292
(817) 875-8343
Mailing address
2309 BALLANTRAE DR, COLLEYVILLE, TX 76034-5303
(817) 875-8343

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
261Q00000X
Clinic/Center
261QI0500X
Infusion Therapy Clinic/Center
Primary

Other

Enumeration date
06/10/2024
Last updated
05/15/2025
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