PUSH MEDSPA NPI 1407704836

NPI Information

  • NPI: 1407704836
  • Provider Name: PUSH MEDSPA
  • Classification: Clinic/Center - 261QH0100X
  • Specialization: Health Service
  • Entity Type: Organization
  • Address: 25301 BOROUGH PARK DR STE 112
    THE WOODLANDS, TX
    ZIP 77380
  • Phone: (936) 228-1764

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NPI Details

PUSH MEDSPA is a health service clinic center in The Woodlands, TX. PUSH MEDSPA NPI is 1407704836. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25301 BOROUGH PARK DR STE 112
THE WOODLANDS, TX
ZIP 77380-568
Phone: (936) 228-1764
Fax: (936) 353-0055

The provider's authorized official is Aretha Horton .
The authorized official title is Administrator and has the following contact phone number (832) 392-5495.

The enumeration date for this NPI number is 3/20/2026 and was last updated on 3/20/2026.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1133VN1201XDietitian, RegisteredNutrition, Obesity and Weight ManagementNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3261QH0100XClinic/CenterHealth ServiceYes

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: 11/21/2025

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