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ELITE MED SPA
NPI 1053883405
Otolaryngology in Granbury, TX

Active since December 26, 2018
1030 E HWY 377 STE 114, GRANBURY, TX 76048(817) 579-2660(877) 465-6014 Get Directions Write a Review

NPPES record last updated: March 19, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Elite Med Spa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELITE MED SPA (NPI 1053883405) is a healthcare organization registered as an otolaryngology in Granbury, Texas and active in the NPI registry since December 2018. The organization lists Kelly Christine Krepinevich, Business Manager, as its authorized official.

NPPES Registry Identity

NPI1053883405
Entity TypeOrganization
Primary Taxonomy207Y00000X
Legal Business NameCOSMEDIC WELLNESS CENTERS, INC
Location Address1030 E HWY 377 STE 114Granbury, TX 76048-1457
Mailing Address1030 E Hwy 377 Ste 114Granbury, TX 76048-1457 · (817) 579-2660 · Fax (877) 456-6014
Phone(817) 579-2660
Fax(877) 465-6014
Organization SubpartYes
Authorized OfficialKelly Christine KrepinevichBusiness Manager · (817) 579-2660
Enumeration DateDecember 26, 2018
Last NPPES UpdateMarch 19, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1053883405 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Definition
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.
1030 E HWY 377 STE 114, Granbury, TX 76048
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Other Names 1

Doing Business AsElite Med Spa

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cosmedic Wellness Centers, Inc's NPI number?

The NPI number for Cosmedic Wellness Centers, Inc is 1053883405. It was assigned to this organization in the NPPES registry on December 26, 2018. The provider is doing business as Elite Med Spa.

Where is Cosmedic Wellness Centers, Inc located?

Cosmedic Wellness Centers, Inc is located at 1030 E Hwy 377 Ste 114, Granbury, TX 76048. The listed phone number is (817) 579-2660.

What is Cosmedic Wellness Centers, Inc's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

When was this NPI record last updated?

The NPPES record for Cosmedic Wellness Centers, Inc was last updated on March 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.