Organization Active NPI

Distinguished Gentlemen's Spa LLC

  • Massage Therapist
  • Harlingen, TX
National Provider Identifier
1275376592
Registry record updated Jun 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
DISTINGUISHED GENTLEMEN'S SPA LLC
Practice address
2413 Haine Dr
Harlingen, TX 78550-8592
Phone
(956) 230-0466
Fax
(956) 230-0288
NPI assigned
Jun 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Claudia Estrada GarciaNPI 1487337549
Title
Owner
Phone
(956) 501-3936

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2413 Haine Dr
Harlingen, TX 78550-8592

Mailing address

2413 Haine Dr
Harlingen, TX 78550-8592
Phone (956) 230-0466

National Provider Directory

National Provider Directory

Locations

2413 Haine Dr
Harlingen, TX 78550
Phone (956) 230-0466

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718323200000",
    "number": "1275376592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 HAINE DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508592",
            "telephone_number": "956-230-0466",
            "fax_number": "956-230-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2413 HAINE DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508592",
            "telephone_number": "956-230-0466",
            "fax_number": "956-230-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DISTINGUISHED GENTLEMEN'S SPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-06-14",
        "certification_date": "2024-06-14",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "ESTRADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "956-501-3936",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.