# OLYSIS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Olysis Med Spa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841078946
- **Authorized official:** MS. JAMIE JOHNSON CPE (OWNER / ELECTROLOGIST)
- **Authorized official phone:** (214) 326-5721

## Contact information

- **Practice address:** 509 E BYRON NELSON BLVD STE C, ROANOKE, TX 76262-6183
- **Practice address phone:** (682) 593-1442
- **Mailing address:** 509 E BYRON NELSON BLVD STE C, ROANOKE, TX 76262-6183
- **Mailing address phone:** (682) 593-1442

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | — | NULL | — |
| 174400000X | Specialist | — | — | — |
| 261QM2500X | Medical Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/19/2023
- **Last updated:** 03/15/2025