Evolve Wellness Center LLC
NPI #1023751302 in Shavano Park, Texas
Provider Information
- NPI Number
- 1023751302
- Entity Type
- Organization
- Organization Name
- Evolve Wellness Center LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Apr 15, 2022
- Last Updated
- Jun 1, 2022
Practice Location
- Address
- 4081 DE ZAVALA RD STE 201
- City
- Shavano Park
- State
- Texas
- ZIP Code
- 78249-2082
- Phone
- (210) 971-4380
Authorized Official
- Name
- MS. CARMEN E DIAZ
- Title
- LPC/OWNER
- Phone
- (210) 414-5398
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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