Organization Active NPI

Third Coast Aesthetics and Wellness

  • Clinic/Center
  • Galveston, TX
National Provider Identifier
1346073236
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THIRD COAST AESTHETICS AND WELLNESS
Practice address
2005 Post Office St
Galveston, TX 77550-2096
Phone
(409) 203-7782
NPI assigned
Aug 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Authorized official

Name
John Reeder, EMTPNPI 1033806476
Title
Ceo
Phone
(409) 203-7782

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2005 Post Office St
Galveston, TX 77550-2096

Mailing address

2005 Post Office St
Galveston, TX 77550-2096
Phone (409) 203-7782

National Provider Directory

National Provider Directory

Locations

2005 Post Office St
Galveston, TX 77550
Phone (409) 203-7782

Practitioners & affiliated clinicians

Practitioners 1

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": "1724630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724630400000",
    "number": "1346073236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2005 POST OFFICE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502096",
            "telephone_number": "409-203-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 POST OFFICE ST",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775502096",
            "telephone_number": "409-203-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD COAST AESTHETICS AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-26",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A",
        "authorized_official_last_name": "REEDER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "409-203-7782",
        "authorized_official_credential": "EMTP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.