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Organization
BRAZILIAN BEAUTY MEDSPA LLC
Active
Organization
BRAZILIAN BEAUTY MEDSPA LLC
Active
Other names
HB Functional Health
Organization subpart
No
Provider details
NPI number
Authorized official
GUILHERME OLIVEIRA (GENERAL MANAGER)
(469) 345-1035
Entity
Organization
Contact information
Practice address
4645 WYNDHAM LN STE 220B, FRISCO, TX 75033-0004
(833) 601-8086
Mailing address
11625 CUSTER RD STE 110-237, FRISCO, TX 75035-8783
Taxonomy
Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
10/01/2024
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