# ALICIA'S BODY RESTORATION CLIMIC

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

## Provider details

- **NPI number:** 1528789054
- **Authorized official:** ALICIA SHERRAY MYLES NURSE PRACTITIONER (OWNER)
- **Authorized official phone:** (832) 757-6001

## Contact information

- **Practice address:** 23410 GRAND RESERVE DR STE 604, KATY, TX 77494-4968
- **Practice address phone:** (832) 220-6130
- **Mailing address:** 1660 KATY GAP RD APT 34105, KATY, TX 77494-7733
- **Mailing address phone:** (832) 757-6001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/02/2022
- **Last updated:** 09/07/2022