Active NPI
Alicia's Body Restoration Climic
- Family Medicine Physician
- Katy, TX
National Provider Identifier
1528789054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- ALICIA'S BODY RESTORATION CLIMIC
- Practice address
- 23410 Grand Reserve Dr Ste 604
Katy, TX 77494-4968 - Phone
- (832) 220-6130
- NPI assigned
- Sep 2, 2022
- Last updated
- Sep 7, 2022
- 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
- Alicia Sherray Myles, NURSE PRACTITIONER
- Title
- Owner
- Phone
- (832) 757-6001
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
23410 Grand Reserve Dr Ste 604
Katy, TX 77494-4968
Mailing address
1660 Katy Gap Rd Apt 34105
Katy, TX 77494-7733
Phone (832) 757-6001
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | services@aliciabodyclinic.com | Direct |
National Provider Directory
National Provider DirectoryLocations
23410 Grand Reserve Dr
Ste 604
Katy, TX 77494
Phone (832) 220-6130
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Katy, TX
- NPI 1023691847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662076800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1662508800000",
"number": "1528789054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1660 KATY GAP RD APT 34105",
"city": "KATY",
"state": "TX",
"postal_code": "774947733",
"telephone_number": "832-757-6001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23410 GRAND RESERVE DR STE 604",
"city": "KATY",
"state": "TX",
"postal_code": "774944968",
"telephone_number": "832-220-6130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALICIA'S BODY RESTORATION CLIMIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-02",
"last_updated": "2022-09-07",
"certification_date": "2022-09-07",
"status": "A",
"authorized_official_last_name": "MYLES",
"authorized_official_first_name": "ALICIA",
"authorized_official_middle_name": "SHERRAY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "832-757-6001",
"authorized_official_credential": "NURSE PRACTITIONER"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "services@aliciabodyclinic.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "23410 Grand Reserve Dr Ste 604",
"city": "Katy",
"state": "TX",
"country_code": "US",
"postal_code": "774944968",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.