Ivy Drip Iv Hydration, Aesthetics, And Weight Loss | |
5330 Fry Rd Ste C Katy TX 77449 | |
(832) 721-2629 | |
Not Available |
Full Name | Ivy Drip Iv Hydration, Aesthetics, And Weight Loss |
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Speciality | Clinic/Center |
Location | 5330 Fry Rd, Katy, Texas |
Authorized Official Name and Position | Latoya Cains-barnes (FNP-C) |
Authorized Official Contact | 8327212629 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ivy Drip Iv Hydration, Aesthetics, And Weight Loss 5330 Fry Rd Ste C Katy TX 77449 Ph: () - | Ivy Drip Iv Hydration, Aesthetics, And Weight Loss 5330 Fry Rd Ste C Katy TX 77449 Ph: (832) 721-2629 |
NPI Number | 1114666203 |
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Provider Enumeration Date | 05/27/2022 |
Last Update Date | 05/27/2022 |
Medicare PECOS PAC ID | 1153709712 |
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Medicare Enrollment ID | O20220609002938 |
Identifier | Type | State | Issuer |
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1114666203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Latoya Cains-barnes |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912515602 PECOS PAC ID: 1759760523 Enrollment ID: I20220701001032 |
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