EVOLVE WELLNESS CENTER LLC NPI 1023751302

NPI Information

  • NPI: 1023751302
  • Provider Name: EVOLVE WELLNESS CENTER LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 4081 DE ZAVALA RD STE 201
    SHAVANO PARK, TX
    ZIP 78249
  • Phone: (210) 971-4380

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NPI Details

EVOLVE WELLNESS CENTER LLC is a clinic center in Shavano Park, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). EVOLVE WELLNESS CENTER LLC NPI is 1023751302. The provider is registered as an organization entity type.

The provider's business location address is:

4081 DE ZAVALA RD STE 201
SHAVANO PARK, TX
ZIP 78249-082
Phone: (210) 971-4380

The provider's authorized official is Carmen E Diaz .
The authorized official title is Lpc/owner and has the following contact phone number (210) 414-5398.

The enumeration date for this NPI number is 4/15/2022 and was last updated on 6/1/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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