NPI Code Detail JSON Logo

1548646789 NPI number — COLLEYVILLE BODY FOCUS SPA AND WELLNESS DBA JUVIA MED SPA

NPI Number: 1548646789
Health Care Provider/Practitioner: COLLEYVILLE BODY FOCUS SPA AND WELLNESS DBA JUVIA MED SPA

Information about “1548646789” NPI (COLLEYVILLE BODY FOCUS SPA AND WELLNESS DBA JUVIA MED SPA) exists in 1548646789 in HTML format HTML  |  1548646789 in plain Text format TXT  |  1548646789 in PDF (Portable Document Format) PDF  |  1548646789 in an XML format XML  formats.

NPI Number : 1548646789 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548646789",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "COLLEYVILLE BODY FOCUS SPA AND WELLNESS DBA JUVIA MED SPA",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4620 COLLEYVILLE BLVD",
    "SecondLineMailingAddress": "#102",
    "MailingAddressCityName": "COLLEYVILLE",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76034-3971",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "4620 COLLEYVILLE BLVD",
    "SecondLinePracticeLocationAddress": "#102",
    "PracticeLocationAddressCityName": "COLLEYVILLE",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76034-3971",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-792-5700",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "08/10/2015",
    "LastUpdateDate": "08/10/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CIAROCHI",
    "AuthorizedOfficialFirstName": "JOEL",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRACTICE MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "972-792-5700",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": "NULL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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