Organization
INCOGNITO SPA CLINIC LLC
Active
Organization
INCOGNITO SPA CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATASHA KRAUTH (OWNER)
(346) 816-9150
Entity
Organization
Contact information
Practice address
2201 ARBOR ST, HOUSTON, TX 77004-6026
(833) 430-4807
(833) 430-4807
Mailing address
2201 ARBOR ST, HOUSTON, TX 77004-6026
(833) 430-4807
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
—
—
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
—
Other
Enumeration date
08/31/2021
Last updated
08/31/2021
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