| Pristine Serenity Med Spa Llc | |
|
19121 W Lake Houston Pkwy # 1 Humble TX 77346-4825 | |
| (832) 819-1415 | |
| Not Available |
| Full Name | Pristine Serenity Med Spa Llc |
|---|---|
| Speciality | General Practice |
| Location | 19121 W Lake Houston Pkwy # 1, Humble, Texas |
| Authorized Official Name and Position | Bianca Robinson (OWNER) |
| Authorized Official Contact | 7138709738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pristine Serenity Med Spa Llc 14802 Barton Grove Ln Humble TX 77396-4234 Ph: (713) 870-9738 | Pristine Serenity Med Spa Llc 19121 W Lake Houston Pkwy # 1 Humble TX 77346-4825 Ph: (832) 819-1415 |
| NPI Number | 1629721345 |
|---|---|
| Provider Enumeration Date | 02/02/2022 |
| Last Update Date | 02/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629721345 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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