Organization Active NPI

Leblanc Med Spa Clinic PLLC

  • Family Nurse Practitioner
  • Cypress, TX
National Provider Identifier
1386331650
Registry record updated Apr 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
LEBLANC MED SPA CLINIC PLLC
Practice address
17832 Mound Rd Ste F
Cypress, TX 77433-4820
Phone
(281) 246-0061
Fax
(281) 246-0063
NPI assigned
Apr 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2023

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

Authorized official

Name
Blanca Roman, FNP
Title
Owner
Phone
(281) 246-0061

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

17832 Mound Rd Ste F
Cypress, TX 77433-4820

Mailing address

17832 Mound Rd Ste F
Cypress, TX 77433-4820
Phone (281) 246-0061

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1386331650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17832 MOUND RD STE F",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334820",
            "telephone_number": "281-246-0061",
            "fax_number": "281-246-0063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17832 MOUND RD STE F",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774334820",
            "telephone_number": "281-246-0061",
            "fax_number": "281-246-0063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEBLANC MED SPA CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-18",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "ROMAN",
        "authorized_official_first_name": "BLANCA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-246-0061",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.