Organization
KELM WELLNESS EVOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENARXYS RODRIGUEZ FNP (FNP- MANAGER)
(786) 449-7838
Entity
Organization
Contact information
Practice address
8118 FRY RD STE 802, CYPRESS, TX 77433-7850
(786) 449-7838
Mailing address
3338 QUARRY PLACE LN, KATY, TX 77493-1846
(786) 449-7838
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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