Provider Demographics
NPI:1669955183
Name:PLY FAMILY WELLNESS PLLC
Entity type:Organization
Organization Name:PLY FAMILY WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:WESLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:PLY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:512-667-0898
Mailing Address - Street 1:2115 STEPHENS PL STE 700
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-2162
Mailing Address - Country:US
Mailing Address - Phone:512-667-0898
Mailing Address - Fax:
Practice Address - Street 1:2115 STEPHENS PL STE 700
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-2162
Practice Address - Country:US
Practice Address - Phone:512-667-0898
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-11
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty