1 Body Med Spa INC
Registered Nurse in Pearland, TX. Organization (NPI-2).
NPI number1992581029
StatusActive
Last updated in NPPESSep 5, 2023
Details
- NPI
- 1992581029
- Entity type
- Organization (NPI-2)
- Legal business name
- 1 Body Med Spa INC
- Organization subpart
- No
- Enumeration date
- Sep 5, 2023
- Certification date
- Sep 5, 2023
- Last updated
- Sep 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | – | – | Yes |
| 261Q00000X | Clinic/Center | – | – | |
| 261QC1500X | Clinic/Center, Community Health | – | – | |
| 261QI0500X | Clinic/Center, Infusion Therapy | – | – | |
| 261QP0904X | Clinic/Center, Public Health, Federal | – | – | |
| 261QR0800X | Clinic/Center, Recovery Care | – | – |
Other names
- 1 Body Med Spa (Doing Business As)
Practice location
3220 Kirby Dr Ste 140Pearland, TX 77584-5549
Phone 317-993-2439
Mailing address
3220 Kirby Dr Ste 140Pearland, TX 77584-5549
Phone 317-993-2439
Authorized official
Turista Jackson
President
3179932439
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