| Evolve Wellness Center Llc | |
|
4081 De Zavala Rd Ste 201 Shavano Park TX 78249-2082 | |
| (210) 971-4380 | |
| Not Available |
| Full Name | Evolve Wellness Center Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4081 De Zavala Rd Ste 201, Shavano Park, Texas |
| Authorized Official Name and Position | Carmen E Diaz (LPC/OWNER) |
| Authorized Official Contact | 2104145398 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Wellness Center Llc 4081 De Zavala Rd Ste 201 Shavano Park TX 78249-2082 Ph: (210) 971-4380 | Evolve Wellness Center Llc 4081 De Zavala Rd Ste 201 Shavano Park TX 78249-2082 Ph: (210) 971-4380 |
| NPI Number | 1023751302 |
|---|---|
| Provider Enumeration Date | 04/15/2022 |
| Last Update Date | 06/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023751302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Diabetes And Metabolism Specialists Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4118 Pond Hill Rd, Building 3, Shavano Park, TX 78231 Phone: 210-494-3739 Fax: 210-494-4508 | |
Baumholtz Plastic Surgery Associates, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4083 De Zavala Rd, Shavano Park, TX 78249 Phone: 210-920-2390 |