Provider Demographics
NPI:1720757586
Name:PURE HOLISTIC HEALTHCARE AND WELLNESS
Entity type:Organization
Organization Name:PURE HOLISTIC HEALTHCARE AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FNP, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:AGUIRRE
Authorized Official - Suffix:
Authorized Official - Credentials:FNP
Authorized Official - Phone:956-624-5328
Mailing Address - Street 1:903 W CARMEL AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:PHARR
Mailing Address - State:TX
Mailing Address - Zip Code:78577-0491
Mailing Address - Country:US
Mailing Address - Phone:956-624-5328
Mailing Address - Fax:
Practice Address - Street 1:427 E DURANTA AVE
Practice Address - Street 2:
Practice Address - City:ALAMO
Practice Address - State:TX
Practice Address - Zip Code:78516-3407
Practice Address - Country:US
Practice Address - Phone:956-624-5328
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-07
Last Update Date:2021-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty