NPI Code Detail JSON Logo

1487599379 NPI number — BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC

NPI Number: 1487599379
Health Care Provider/Practitioner: BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC

Information about “1487599379” NPI (BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC) exists in 1487599379 in HTML format HTML  |  1487599379 in plain Text format TXT  |  1487599379 in PDF (Portable Document Format) PDF  |  1487599379 in an XML format XML  formats.

NPI Number : 1487599379 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487599379",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "BOUGIE AND BEAUTIFIED LUXURY MED SPA AND PRIMARY CARE SERVICES PLLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1902 JOHN STOCKBAUER DR STE 300",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "VICTORIA",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "77901-3797",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "361-308-9311",
    "MailingAddressFaxNumber": "844-483-1957",
    "FirstLinePracticeLocationAddress": "1902 JOHN STOCKBAUER DR STE 300",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "VICTORIA",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "77901-3797",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "361-308-9311",
    "PracticeLocationAddressFaxNumber": "844-483-1957",
    "EnumerationDate": "04/20/2026",
    "LastUpdateDate": "04/20/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "BARRERA",
    "AuthorizedOfficialFirstName": "YVETTE",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "NURSE PRACTITIONER/OWNER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "FNP-C",
    "AuthorizedOfficialTelephoneNumber": "361-308-9311",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363LF0000X",
        "TaxonomyName": "Family Nurse Practitioner",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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