Organization
KELEAC VENTURES LLC
Active
Other names
Accelerated Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HERBERT KEVIN COATES JR. FNP (OWNER)
(214) 233-5802
Entity
Organization
Contact information
Practice address
4128 MAISON RDG, DALLAS, TX 75219-3044
(214) 233-5802
Mailing address
4128 MAISON RDG, DALLAS, TX 75219-3044
(337) 655-1322
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/06/2024
Last updated
07/06/2024
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