Organization
DEMI'S LAVISHED BOUTIQUE LLC
Active
Other names
Demi's Lavished Boutique LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DEMITRIS DIANE CARAWAY (PROSTHETIC ORTHOTIC PROVIDER)
(832) 541-3152
Entity
Organization
Contact information
Practice address
14020 S POST OAK RD STE 2103, HOUSTON, TX 77045-5161
(832) 541-3152
Mailing address
2601 WOODLAND PARK DR APT 1216, HOUSTON, TX 77077-6163
(832) 541-3152
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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