| Elite Wellness And Weight Loss | |
|
100 W Southlake Blvd Ste 180 Southlake TX 76092-6100 | |
| (817) 953-0940 | |
| Not Available |
| Full Name | Elite Wellness And Weight Loss |
|---|---|
| Speciality | General Practice |
| Location | 100 W Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Karrie Cook (OWNER) |
| Authorized Official Contact | 8179530940 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Wellness And Weight Loss 100 W Southlake Blvd Ste 180 Southlake TX 76092-6100 Ph: (817) 953-0940 | Elite Wellness And Weight Loss 100 W Southlake Blvd Ste 180 Southlake TX 76092-6100 Ph: (817) 953-0940 |
| NPI Number | 1851796932 |
|---|---|
| Provider Enumeration Date | 10/30/2014 |
| Last Update Date | 10/30/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851796932 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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