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DIVINE BEAUTY BAR LLC NPI 1902399942


NPI Information

NPI: 1902399942
Provider Name: DIVINE BEAUTY BAR, LLC
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization
Address:
4201 CYPRESS CREEK PKWY STE 322
HOUSTON, TX
ZIP 77068
Phone: (469) 499-6200
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DIVINE BEAUTY BAR, LLC is a durable medical equipment medical supplies in Houston, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. DIVINE BEAUTY BAR, LLC NPI is 1902399942. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4201 CYPRESS CREEK PKWY STE 322
HOUSTON, TX
ZIP 77068-414
Phone: (469) 499-6200
Fax: (469) 519-5839

The provider's authorized official is Dezaree' Lusk .
The authorized official title is Owner and has the following contact phone number (469) 499-6200.

The enumeration date for this NPI number is 6/13/2018 and was last updated on 12/15/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11744P3200XSpecialistProsthetics Case Management1449535TEXASNo
2332B00000XDurable Medical Equipment & Medical SuppliesYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11449535OTHERTEXASTEXAS DEPARTMENT OF LICENSING AND REGISTRATION
2C53480OTHERTEXASCERTIFIED MASTECTOMY FITTER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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