Healthcare Provider Details

I. General information

NPI: 1295534907
Provider Name (Legal Business Name): ANOINTED AESTHETICS & MEDICAL SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/13/2025
Last Update Date: 01/30/2026
Certification Date: 01/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 E RANDOL MILL RD STE 700
ARLINGTON TX
76011-1410
US

IV. Provider business mailing address

PO BOX 96
WAXAHACHIE TX
75168-0096
US

V. Phone/Fax

Practice location:
  • Phone: 682-746-8082
  • Fax: 682-757-0477
Mailing address:
  • Phone: 682-746-8082
  • Fax: 682-757-0477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code261QI0500X
TaxonomyInfusion Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code335G00000X
TaxonomyMedical Foods Supplier
License Number
License Number State

VIII. Authorized Official

Name: JENELLE DUGAN
Title or Position: OWNER-OPERATOR
Credential: NP
Phone: 682-746-8082