Organization
ALICIA'S BODY RESTORATION CLIMIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA SHERRAY MYLES NURSE PRACTITIONER (OWNER)
(832) 757-6001
Entity
Organization
Contact information
Practice address
23410 GRAND RESERVE DR STE 604, KATY, TX 77494-4968
(832) 220-6130
Mailing address
1660 KATY GAP RD APT 34105, KATY, TX 77494-7733
(832) 757-6001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/02/2022
Last updated
09/07/2022
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