Organization
WELLNESS AND EQUITY ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRISON LOBDELL IV MD (CHIEF MEDICAL OFFICER)
(770) 833-7391
Entity
Organization
Contact information
Practice address
1709 DRAKE AVE, AUSTIN, TX 78704-3526
(770) 833-7391
Mailing address
1709 DRAKE AVE, AUSTIN, TX 78704-3526
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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