Overview
Name: DELUXE MIND & BODY MEDICAL SPA LLC
Specialty: Family Nurse Practitioner
Type of Practice: Organization
Provider/Org:
Medical School:
Graduation year from medical school:
Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers
Classification: Nurse Practitioner
Specialization: Family.
Definition of Specialty: Definition to come…
License & NPI
License #(s): , , , ,
License State(s): , , , ,
Addresses
Practice Location: DELUXE MIND & BODY MEDICAL SPA LLC,6214 PRESIDIO CANYON DR,KATY,TX,774508756,US
Mailing Address: DELUXE MIND & BODY MEDICAL SPA LLC,1727 LAKE CHARLOTTE LN,RICHMOND,TX,774068096,US
Contact #
Practice location phone #: 8325844092
Practice location fax #:
Mailing address Phone #: 8325844092
Mailing Address fax #:
Authorized official Name/Telephone #:ODIRI, AKUSHE, OWNER 8325844092
Misc
Date NPI was obtained: 08/23/2021
Last data data was updated: 08/23/2021
Insurances: