Organization
830 WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LACY MCMILLON APRN, FNP-C, ENP-C (OWNER)
(903) 576-5677
Entity
Organization
Contact information
Practice address
2210 BANDERA HWY STE C-2, KERRVILLE, TX 78028-6609
(903) 576-5677
Mailing address
477 LARIAT TRACE, BANDERA, TX 78003
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/20/2023
Last updated
03/20/2023
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