Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cosmedic Wellness Centers, Inc

Organization Otolaryngology Physician · NPI 1053883405

Cosmedic Wellness Centers, Inc is an Otolaryngology Physician in Granbury, Texas. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1030 E Hwy 377 Ste 114
Granbury, TX 76048-1457
Phone: (817) 579-2660
Fax: (877) 465-6014
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1053883405
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationCosmedic Wellness Centers, Inc
Authorized official Kelly Krepinevich — Business Manager · (817) 579-2660
Other names Elite Med Spa
NPI enumeratedDecember 26, 2018
Last updated in NPPESMarch 19, 2024
Certification dateMarch 12, 2024
Mailing address1030 E Hwy 377 Ste 114, Granbury, TX 76048-1457

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