OrganizationActive
Cosmedic Wellness Centers, Inc
NPI 1053883405 · Otolaryngology Physician · Granbury, TX
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
Practice location
1030 E Hwy 377 Ste 114
Granbury, TX 76048-1457
Phone: (817) 579-2660
Fax: (877) 465-6014
Approximate (ZIP-level) locationGet directions
Mailing address
1030 E Hwy 377 Ste 114
Granbury, TX 76048-1457
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.