Organization
DELUXE MIND & BODY MEDICAL SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ODIRI AKUSHE (OWNER)
(832) 584-4092
Entity
Organization
Contact information
Practice address
6214 PRESIDIO CANYON DR, KATY, TX 77450-8756
(832) 584-4092
Mailing address
1727 LAKE CHARLOTTE LN, RICHMOND, TX 77406-8096
(832) 584-4092
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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