AVALYN WELLNESS AND KETAMINE LLC NPI 1356036933

NPI Information

NPI: 1356036933
Provider Name: AVALYN WELLNESS AND KETAMINE LLC
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX
ZIP 76092
Phone: (817) 251-7995
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AVALYN WELLNESS AND KETAMINE LLC is a multi-specialty clinic center in Southlake, TX. AVALYN WELLNESS AND KETAMINE LLC NPI is 1356036933. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX
ZIP 76092-726
Phone: (817) 251-7995
Fax: (817) 398-0016

The provider's authorized official is Steven Michael Appelhof .
The authorized official title is Owner and has the following contact phone number (951) 956-8966.

The enumeration date for this NPI number is 4/10/2023 and was last updated on 1/11/2024.

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	Primary
1	363L00000X	Nurse Practitioner		No
2	367500000X	Nurse Anesthetist, Certified Registered		No
3	261QM1300X	Clinic/Center	Multi-Specialty	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

NPI Synchronization or Removal

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