Organization
KOPEC FUNCTIONAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KOPEC (AUTHORIZED OFFICIAL)
(972) 942-4039
Entity
Organization
Contact information
Practice address
2301 OHIO DR STE 200, PLANO, TX 75093-3902
(972) 942-4039
Mailing address
2301 OHIO DR STE 200, PLANO, TX 75093-3902
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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