Wellness and Aesthetics Institute, PA

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

G5951 Issued in TX

Legal business name

WELLNESS AND AESTHETICS INSTITUTE, PA

Doing business as

Wellness Metabolic Institute

Practice address

2020 W State Highway 114
Suite 260
Grapevine, TX 76051-8649

Phone

(817) 481-6342

Fax

(817) 442-4848

NPI assigned

May 10, 2011

Last updated

May 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Beverly D Kotsanis

Title

Chief Executive Officer

Phone

(817) 481-6342

Specialties & licenses 3

Addresses

Other names 1

• Wellness Metabolic Institute Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1304985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304985600000",
    "number": "1487946448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W STATE HIGHWAY 114",
            "address_2": "SUITE 260",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518649",
            "telephone_number": "817-481-6342",
            "fax_number": "817-442-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W STATE HIGHWAY 114",
            "address_2": "SUITE 260",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760518649",
            "telephone_number": "817-481-6342",
            "fax_number": "817-442-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND AESTHETICS INSTITUTE, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-10",
        "last_updated": "2011-05-10",
        "status": "A",
        "authorized_official_last_name": "KOTSANIS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "817-481-6342",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "G5951",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "TX",
            "license": "G5951",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "G5951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Metabolic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Danielle Marie Watley, SLP INTERN
• Wattron Consulting, PC
• Karen Marie Wdowik, LVN
• Emily Weber
• Joan Wehman, LCSW
• Kimberly Grace Wells, OTR/L
• Welltrends Inc. (BrightStar of Mid-Cities)
• Scott Wenger, MD
• Culver Marie Werner, NP-C
• Jill Wess

• Otolaryngology Physician in Grapevine, TX
• Providers in Grapevine, TX by specialty
• Otolaryngology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.