Organization
ENTOURAGE APPAREL & ACCESSORIES, LLC
Active
Other names
Vain IV Hydration, Aesthetics & Weight Loss
Organization subpart
No
Provider details
NPI number
Authorized official
KIAWANA PRIESTLEY FNP (APRN-C)
(832) 221-6827
Entity
Organization
Contact information
Practice address
1101 W MAIN ST STE F, LEAGUE CITY, TX 77573-2039
(281) 849-7979
Mailing address
5602 FOREST COVE DR, DICKINSON, TX 77539-6398
(832) 221-6827
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/24/2022
Last updated
03/07/2022
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