Organization
1 BODY MED SPA INC
Active
Other names
1 Body Med Spa
Organization subpart
No
Provider details
NPI number
Authorized official
TURISTA JACKSON (PRESIDENT)
(317) 993-2439
Entity
Organization
Contact information
Practice address
3220 KIRBY DR STE 140, PEARLAND, TX 77584-5549
(317) 993-2439
Mailing address
3220 KIRBY DR STE 140, PEARLAND, TX 77584-5549
(317) 993-2439
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
—
—
261QP0904X
Federal Public Health Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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