ILIVEWELL NUTRITION THERPAY LLC NPI 1306273347

NPI Information

NPI: 1306273347
Provider Name: ILIVEWELL NUTRITION THERPAY, LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
801 RANCH ROAD 620 S
LAKEWAY, TX
ZIP 78734
Phone: (512) 547-9274
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ILIVEWELL NUTRITION THERPAY, LLC is a clinic center in Lakeway, 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). ILIVEWELL NUTRITION THERPAY, LLC NPI is 1306273347. The provider is registered as an organization entity type.

The provider's business location address is:

801 RANCH ROAD 620 S
LAKEWAY, TX
ZIP 78734-316
Phone: (512) 547-9274

The provider's authorized official is Adrien Paczosa .
The authorized official title is President and has the following contact phone number (512) 547-9274.

The enumeration date for this NPI number is 10/5/2013 and was last updated on 10/5/2013.

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
1	261Q00000X	Clinic/Center		DT82817	TEXAS	Yes

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: 5/5/2024

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