| St Marys Medi Spa Llc | |
|
4102 Fannin St Houston TX 77004-4808 | |
| (713) 524-2633 | |
| (713) 524-2639 |
| Full Name | St Marys Medi Spa Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 4102 Fannin St, Houston, Texas |
| Authorized Official Name and Position | Jacqueline Watson (PROVIDER) |
| Authorized Official Contact | 7135242633 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Marys Medi Spa Llc 4102 Fannin St Houston TX 77004-4808 Ph: (713) 524-2633 | St Marys Medi Spa Llc 4102 Fannin St Houston TX 77004-4808 Ph: (713) 524-2633 |
| NPI Number | 1841860327 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841860327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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