Active NPI
D Esthetique Cosmetic &Laser Center
Doing business as D Esthetique Medical Aesthetics & Wellness Center
- Family Nurse Practitioner
- Wichita Falls, TX
National Provider Identifier
1467098434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- D ESTHETIQUE COSMETIC &LASER CENTER
- Doing business as
- D Esthetique Medical Aesthetics & Wellness Center
- Practice address
- 3916 Callfield Road
Suite 300
Wichita Falls, TX 76308 - Phone
- (940) 692-1706
- Fax
- (940) 687-1794
- NPI assigned
- Nov 25, 2019
- 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
- Regina Marie Howard, FAMILY NURSE PRACTIT
- Title
- Business Owner/Nurse Practitioner
- Phone
- (940) 692-1706
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
3916 Callfield Road
Suite 300
Wichita Falls, TX 76308
Mailing address
3916 Callfield Road
Suite 300
Wichita Falls, TX 76308
Phone (940) 692-1706
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568414753 | Other | TX | NPI NUMBER |
Other names 1
- D Esthetique Medical Aesthetics & Wellness Center
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580860800000",
"number": "1467098434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3916 CALLFIELD ROAD",
"address_2": "SUITE 300",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76308",
"telephone_number": "940-692-1706",
"fax_number": "940-687-1794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3916 CALLFIELD ROAD",
"address_2": "SUITE 300",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "76308",
"telephone_number": "940-692-1706",
"fax_number": "940-687-1794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D ESTHETIQUE COSMETIC &LASER CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-25",
"last_updated": "2020-02-05",
"certification_date": "2020-02-05",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "BUSINESS OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "940-692-1706",
"authorized_official_credential": "FAMILY NURSE PRACTIT"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI NUMBER",
"identifier": "1568414753",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "D Esthetique Medical Aesthetics & Wellness Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.