AVALYN WELLNESS AND KETAMINE LLC

SOUTHLAKE, TX
NPI1356036933
Entity TypeOrganization
Authorized ContactSTEVEN MICHAEL APPELHOF
Owner
951-956-8966
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center, Multi-Specialty
Additional Taxonomies363L00000X Nurse Practitioner
367500000X Nurse Anesthetist, Certified Registered
Enumeration Date2023-04-10
Last Update Date2024-01-11
Business Address
AVALYN WELLNESS AND KETAMINE LLC
1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092-4726
Phone number: 817-251-7995
Mailing Address
AVALYN WELLNESS AND KETAMINE LLC
1100 N KIMBALL AVE STE 110
SOUTHLAKE, TX 76092-4726
Phone number: 951-956-8966