Organization
DEMI'S LAVISHED BOUTIQUE LLC
Active
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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