Organization
ANBAP WELLNESS LLC
Active
Organization
ANBAP WELLNESS LLC
Active
Other names
Optimum Medical Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN G MORGAN FNP (OWNER)
(409) 221-8294
Entity
Organization
Contact information
Practice address
1003 NEDERLAND AVE, NEDERLAND, TX 77627
(409) 221-8294
(409) 344-9592
Mailing address
1003 NEDERLAND AVE, NEDERLAND, TX 77627
(409) 221-8294
(409) 344-9592
Taxonomy
Speciality
Code
Description
License number
State
364SF0001X
Family Health Clinical Nurse Specialist
Primary
758246
TX
Other
Enumeration date
01/30/2015
Last updated
01/30/2015
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