Organization
OLYSIS, LLC
Active
Other names
Olysis Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JAMIE JOHNSON CPE (OWNER / ELECTROLOGIST)
(214) 326-5721
Entity
Organization
Contact information
Practice address
509 E BYRON NELSON BLVD STE C, ROANOKE, TX 76262-6183
(682) 593-1442
Mailing address
509 E BYRON NELSON BLVD STE C, ROANOKE, TX 76262-6183
(682) 593-1442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2023
Last updated
03/15/2025
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