Essential Hydration Pllc

NPI #1861178345 in Azle, Texas

Provider Information

NPI Number: 1861178345
Entity Type: Organization
Organization Name: Essential Hydration Pllc
Primary Specialty: Nurse Practitioner
Enumeration Date: Jun 27, 2023
Last Updated: Jun 27, 2023

Practice Location

Address: 109 W MAIN ST
City: Azle
State: Texas
ZIP Code: 76020-3117
Phone: (817) 775-3502

Authorized Official

Name: BRIAN C CRENSHAW
Title: OWNER
Phone: (817) 775-3502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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