COSMEDIC WELLNESS CENTERS INC NPI 1053883405

NPI Information

  • NPI: 1053883405
  • Provider Name: COSMEDIC WELLNESS CENTERS, INC
  • Classification: Otolaryngology - 207Y00000X
  • Entity Type: Organization
  • Doing Business As: ELITE MED SPA
  • Address: 1030 E HWY 377 STE 114
    GRANBURY, TX
    ZIP 76048
  • Phone: (817) 579-2660

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NPI Details

COSMEDIC WELLNESS CENTERS, INC is an otolaryngology in Granbury, TX. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. COSMEDIC WELLNESS CENTERS, INC NPI is 1053883405. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Elite Med Spa.

The provider's business location address is:

1030 E HWY 377 STE 114
GRANBURY, TX
ZIP 76048-457
Phone: (817) 579-2660
Fax: (877) 465-6014

The provider's authorized official is Kelly Christine Krepinevich .
The authorized official title is Business Manager and has the following contact phone number (817) 579-2660.

The enumeration date for this NPI number is 12/26/2018 and was last updated on 3/19/2024.

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 License Number License State Primary
1207Y00000XOtolaryngologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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