Provider Demographics
NPI:1639586779
Name:ENH CENTER, LLC
Entity Type:Organization
Organization Name:ENH CENTER, LLC
Other - Org Name:WORLD-WIDE NATUROPATHIC HEALTH SERVICE
Other - Org Type:Other Name
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDRE
Authorized Official - Middle Name:ALEXANDER
Authorized Official - Last Name:KULISZ
Authorized Official - Suffix:
Authorized Official - Credentials:ND, PHD, ACN
Authorized Official - Phone:918-398-0252
Mailing Address - Street 1:PO BOX 63794
Mailing Address - Street 2:
Mailing Address - City:PIPE CREEK
Mailing Address - State:TX
Mailing Address - Zip Code:78063-3794
Mailing Address - Country:US
Mailing Address - Phone:918-398-0252
Mailing Address - Fax:
Practice Address - Street 1:1647 RIO RANCHERO
Practice Address - Street 2:
Practice Address - City:LAKEHILLS
Practice Address - State:TX
Practice Address - Zip Code:78063-6090
Practice Address - Country:US
Practice Address - Phone:918-398-0252
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-21
Last Update Date:2014-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXNOT REGULATED IN TX175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty