Organization · Type 2 NPI

Illuminate Functional Health LLC

Health Service Clinic/Center · Austin, TX

NPI number 1235815747 Active

Practice location

5900 Balcones Dr Ste 100
Austin, TX 78731-4298

Call (503) 347-1543 Map

Mailing address

301 W Panther Way Apt 604
Hewitt, TX 76643-3233

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1235815747

Illuminate Functional Health LLC's National Provider Identifier is 1235815747, issued on Jun 27, 2023. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Austin, TX. The record was last updated on Jun 27, 2023.