| NPI | 1841860327 |
|---|---|
| Doing Business As | ST MARYS MEDI SPA |
| Entity Type | Organization |
| Authorized Contact | JACQUELINE WATSON Provider 713-524-2633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2021-06-28 |
| Last Update Date | 2021-06-28 |