Eye for Beauty Med Spa & GBC Family Medicine, PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP126911 Issued in TX

Legal business name

EYE FOR BEAUTY MED SPA & GBC FAMILY MEDICINE, PLLC

Practice address

227 S Gun Barrel LN
Gun Barrel City, TX 75156-3851

Phone

(903) 887-8884

Fax

(903) 887-7808

NPI assigned

Mar 21, 2018

Last updated

Mar 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Catherine Moody, FNPNPI 1891193744

Title

Owner

Phone

(903) 887-8884

Specialties & licenses 2

Addresses

Locations

Practitioners 2

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.

• Mary Catherine Moody, FNP

  • Family Nurse Practitioner
  • Beaverton, OR
  • NPI 1891193744
  NPD (past) Authorized official
• Jennifer Faye Williams, FNP-C

  • Family Nurse Practitioner
  • Athens, TX
  • NPI 1497113948
  NPD (past)

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

{
    "created_epoch": "1521590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1538663877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 S GUN BARREL LN",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563851",
            "telephone_number": "903-887-8884",
            "fax_number": "903-887-7808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 S GUN BARREL LN",
            "city": "GUN BARREL CITY",
            "state": "TX",
            "postal_code": "751563851",
            "telephone_number": "903-887-8884",
            "fax_number": "903-887-7808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE FOR BEAUTY MED SPA & GBC FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-21",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "MOODY",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-887-8884",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP126911",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP126911",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Gregory Ellis, R.PH.
• Enriched Life Medical (Jon M Rich)
• Enriched Life Medical, PLLC
• Etmc Physician Group Inc.
• Etx Inject Cosmetics & Wellness Crandall PLLC
• Jolene Adelle Finley, LM, CPM
• First Step to Recovery LLC
• Marian H, Flowers, CCC SLP
• Diane Marilee Gard, PHD
• GBC Medical Associates PLLC

• Family Nurse Practitioner in Gun Barrel City, TX
• Providers in Gun Barrel City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.