NPI | 1124652912 |
---|---|
Doing Business As | SOUTHERN SECRETS MED SPA |
Entity Type | Organization |
Authorized Contact | STACEY PERRY Office Manager 832-263-1300 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2020-03-02 |
Last Update Date | 2020-03-02 |