Active NPI
Doll House Medspa LLC
- Preventive Medicine/Occupational Environmental Medicine Physician
- San Antonio, TX
National Provider Identifier
1134622343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- Legal business name
- DOLL HOUSE MEDSPA LLC
- Practice address
- 1205 N Loop 1064 W
Suite 225
San Antonio, TX 78258 - Phone
- (210) 437-2759
- Fax
- (210) 253-9302
- NPI assigned
- Mar 14, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Therese Rizzo, NURSE PRACTITIONER
- Title
- Partner
- Phone
- (210) 843-3565
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | Primary | ||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
1205 N Loop 1064 W
Suite 225
San Antonio, TX 78258
Mailing address
1205 N. Loop 1064 W
Suite 225
San Antonio, TX 78258
Phone (210) 437-2759
Other names 1
- Doll House Medspa & Primary Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520985600000",
"number": "1134622343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 N. LOOP 1064 W",
"address_2": "SUITE 225",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-437-2759",
"fax_number": "210-253-9302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1205 N LOOP 1064 W",
"address_2": "SUITE 225",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78258",
"telephone_number": "210-437-2759",
"fax_number": "210-253-9302"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOLL HOUSE MEDSPA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-14",
"last_updated": "2018-03-14",
"status": "A",
"authorized_official_last_name": "RIZZO",
"authorized_official_first_name": "THERESE",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "210-843-3565",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Doll House Medspa & Primary Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.