| NPI | 1619772217 |
|---|---|
| Doing Business As | DETOXITY MEDISPA |
| Entity Type | Organization |
| Authorized Contact | MUSATYE GATLING Manager 832-745-3320 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-02-17 |