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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