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General NPI Number Information
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NPI Number | 1275491706
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Entity Type | Organization
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Legal Business Name | LUXE WELLNESS & IV HYDRATION, PLLC
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 600 W 6TH ST STE 400
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City | FORT WORTH
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State | TX
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Zip | 76102-2849
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Country | US
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Telephone | 214-516-7850
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Fax | 817-260-0083
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Provider Business Mailing Address
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Address Line | 600 W 6TH ST STE 400
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City | FORT WORTH
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State | TX
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Zip | 76102-2849
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Country | US
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Telephone | 214-516-7850
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Fax | 817-260-0083
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER/OWNER
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Name | MARCQUISHA KEITA
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Credential | FNP
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Telephone | 214-516-7850
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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