Ivy Drip IV Hydration, Aesthetics, And Weight Loss
Clinic/Center, Primary Care in Katy, TX. Organization (NPI-2).
NPI number1114666203
StatusActive
Last updated in NPPESMay 27, 2022
Details
- NPI
- 1114666203
- Entity type
- Organization (NPI-2)
- Legal business name
- Ivy Drip IV Hydration, Aesthetics, And Weight Loss
- Organization subpart
- No
- Enumeration date
- May 27, 2022
- Certification date
- May 16, 2022
- Last updated
- May 27, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Other names
- Ivy Drip Hydration & Wellness (Doing Business As)
Practice location
5330 Fry RdSte C
Katy, TX 77449
Phone 832-721-2629
Mailing address
5330 Fry RdSte C
Katy, TX 77449
Authorized official
Latoya Cains-Barnes
Fnp-C
8327212629
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