=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699645119
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ASPEN WELLNESS INSTITUTE, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/10/2025
-----------------------------------------------------
Last Update Date | 11/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3000 S HULEN ST STE 124-934
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76109-1914
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-284-8403
-----------------------------------------------------
Fax | 858-712-4587
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6628 MEADOWS WEST DR S
-----------------------------------------------------
City | FORT WORTH
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 76132-1132
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-284-8403
-----------------------------------------------------
Fax | 858-712-4587
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO & CHIEF MEDICAL OFFICER
-----------------------------------------------------
Name | DR. RYAN DARIUS PARTOVI
-----------------------------------------------------
Credential | JD, NMD, MIFHI
-----------------------------------------------------
Telephone | 817-361-8381
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 175F00000X
-----------------------------------------------------
Taxonomy Name | Naturopath
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------