Healthcare Provider Details

I. General information

NPI: 1376958983
Provider Name (Legal Business Name): ZAAZ WELLNESS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2014
Last Update Date: 04/30/2024
Certification Date: 04/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4407 BEE CAVES RD STE 111
WEST LAKE HILLS TX
78746-6498
US

IV. Provider business mailing address

4407 BEE CAVES RD STE 111
WEST LAKE HILLS TX
78746-6498
US

V. Phone/Fax

Practice location:
  • Phone: 512-902-6920
  • Fax: 512-287-5547
Mailing address:
  • Phone: 512-902-6920
  • Fax: 512-287-5547

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberP1091
License Number StateTX

VIII. Authorized Official

Name: AFSHAN KHAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-902-6920