| NPI | 1740022730 |
|---|---|
| Doing Business As | SIMPLY WELL BOUTIQUE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TERI KELSO Practice Administrator 830-620-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-06-10 |
| Last Update Date | 2024-06-19 |