Skinique Med Spa & Wellness
Nutritionist, Nutrition, Education in Fort Worth, TX. Organization (NPI-2).
NPI number1215313259
StatusActive
Last updated in NPPESJul 31, 2015
Details
- NPI
- 1215313259
- Entity type
- Organization (NPI-2)
- Legal business name
- Skinique Med Spa & Wellness
- Organization subpart
- No
- Enumeration date
- Jul 31, 2015
- Last updated
- Jul 31, 2015
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133NN1002X | Nutritionist, Nutrition, Education | – | – | Yes |
Practice location
3160 N Tarrant Pkwy Ste 404Fort Worth, TX 76177-8614
Phone 817-484-0300
Mailing address
3160 N Tarrant Pkwy Ste 404Fort Worth, TX 76177-8614
Phone 817-484-0300
Authorized official
Mark Charlie Valente
Manager
8174840300
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Other Nutrition Education Nutritionist providers in Fort Worth, TX
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