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Organization

INCOGNITO SALON & SPA, LLC

Active
Parent organization
INCOGNITO SALON & SPA, LLC
Other names
Third Ward Wellness Clinic / Incognito Spa Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
INCOGNITO SALON & SPA, LLC
Authorized official
LA TASHA KRAUTH (DIRECTOR)
(346) 473-5945
Entity
Organization

Contact information

Practice address
2601 PROSPECT ST STE A, HOUSTON, TX 77004-7737
(877) 277-4796
Mailing address
5445 ALMEDA RD STE 305, HOUSTON, TX 77004-7447
(346) 473-5945

Taxonomy

Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary

Other

Enumeration date
08/11/2022
Last updated
03/22/2024
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