Selah Medi Spa and Rejuvination Center

Primary specialty

SpecialistTaxonomy code 174400000X

License

193200000X Issued in TX

Legal business name

SELAH MEDI SPA AND REJUVINATION CENTER

Practice address

21715 Kingsland Blvd
Ste 100
Katy, TX 77450-2543

Phone

(281) 492-6334

Fax

(281) 492-6343

NPI assigned

Oct 24, 2012

Organization subpart

No

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

Authorized official

Name

Tricia Schmidt

Title

Owner

Phone

(281) 492-6334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1351036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351036800000",
    "number": "1407109663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21715 KINGSLAND BLVD",
            "address_2": "STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502543",
            "telephone_number": "281-492-6334",
            "fax_number": "281-492-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21715 KINGSLAND BLVD",
            "address_2": "STE 100",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774502543",
            "telephone_number": "281-492-6334",
            "fax_number": "281-492-6343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELAH MEDI SPA AND REJUVINATION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-24",
        "last_updated": "2012-10-24",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-492-6334"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "193200000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Katy, TX
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• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2012; 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.