# SKINIQUE MED SPA & WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215313259
- **Authorized official:** DR. MARK CHARLIE VALENTE D.O. (MANAGER)
- **Authorized official phone:** (817) 484-0300

## Contact information

- **Practice address:** 3160 N TARRANT PKWY STE 404, FORT WORTH, TX 76177-8614
- **Practice address phone:** (817) 484-0300
- **Mailing address:** 3160 N TARRANT PKWY STE 404, FORT WORTH, TX 76177-8614
- **Mailing address phone:** (817) 484-0300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133NN1002X | Nutrition Education Nutritionist | — | NULL | Yes |
| 133NN1002X | Nutrition Education Nutritionist | — | — | Yes |

## Other

- **Enumeration date:** 07/31/2015
- **Last updated:** 07/31/2015