Organization
LICE LICE BABY, LLC
Active
Other names
Lice Clinics of America Round Rock
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY KATHERINE BAUER (OWNER)
(512) 743-0234
Entity
Organization
Contact information
Practice address
1700 BRYANT DR, ROUND ROCK, TX 78664-3897
(512) 743-0234
Mailing address
2362 CAPROCK PL, GEORGETOWN, TX 78626-7347
(512) 743-0234
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
08/14/2017
Last updated
08/14/2017
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