Cosmedic Wellness Centers, Inc
NPI 1053883405 · Otolaryngology Physician · Granbury, TX
Cosmedic Wellness Centers, Inc is a Otolaryngology Physician organization in Granbury, TX (NPI 1053883405).
Provider details
- NPI number
- 1053883405
- Entity type
- Organization
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Cosmedic Wellness Centers, Inc
- Organization subpart
- Yes
- Authorized official
- Kelly Krepinevich, Business Manager(817) 579-2660
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Elite Med Spa
Registry dates
- Enumerated
- 2018-12-26
- Last updated
- 2024-03-19
- Certified
- 2024-03-12
Frequently asked questions
- What is Cosmedic Wellness Centers, Inc's NPI number?
- Cosmedic Wellness Centers, Inc's National Provider Identifier (NPI) is 1053883405, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cosmedic Wellness Centers, Inc?
- Cosmedic Wellness Centers, Inc is classified in the NPPES registry as Otolaryngology Physician (Allopathic & Osteopathic Physicians).
- Where is Cosmedic Wellness Centers, Inc located?
- Cosmedic Wellness Centers, Inc's practice location on file with NPPES is 1030 E Hwy 377 Ste 114, Granbury, TX 76048-1457.
- What is Cosmedic Wellness Centers, Inc's phone number?
- The practice phone number listed in the NPPES registry for Cosmedic Wellness Centers, Inc is (817) 579-2660.
- Who is the authorized official for Cosmedic Wellness Centers, Inc?
- The authorized official listed on Cosmedic Wellness Centers, Inc's NPPES record is Kelly Krepinevich, Business Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cosmedic Wellness Centers, Inc's NPI active?
- Yes — Cosmedic Wellness Centers, Inc's NPI (1053883405) is active in the NPPES registry as of the last update on 2024-03-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.