| NPI | 1083485197 |
|---|---|
| Doing Business As | RECHARGE MEDSPA AND WELLNESS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JOYCE MARIE JACKSON Managing Director 832-599-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0000X Family Medicine, Adolescent Medicine |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 207QS0010X Family Medicine, Sports Medicine | |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 225700000X Massage Therapist | |
| Enumeration Date | 2024-01-09 |
| Last Update Date | 2024-01-09 |