Organization · NPI-2

5 Star Wellness PLLC

General Practice · Highland Village, TX

NPI number1467034041
StatusActive
Last updated in NPPESApr 23, 2021

Details

NPI
1467034041
Entity type
Organization (NPI-2)
Legal business name
5 Star Wellness PLLC
Organization subpart
No
Enumeration date
Apr 23, 2021
Certification date
Apr 23, 2021
Last updated
Apr 23, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208D00000X General Practice––Yes

Practice location

442 Remington Dr E
Highland Village, TX 75077-4002

Phone 316-841-7713

Mailing address

442 Remington Dr E
Highland Village, TX 75077-4002

Phone 316-841-7713

Authorized official

Tanner Hancock
Owner
3168417713

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