About Face Med Spa & Wellness Center LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

N1731 Issued in TX

Legal business name

ABOUT FACE MED SPA & WELLNESS CENTER LLC

Practice address

201 E Central Texas Expy
Suite 1260
Harker Heights, TX 76548-1887

Phone

(254) 781-8169

Fax

(254) 781-8244

NPI assigned

Dec 28, 2011

Last updated

Dec 28, 2011By 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

Dr. Robert Lejawa, D.O

Title

Medical Director/Staff Physician

Phone

(254) 781-8169

Specialties & licenses 1

Addresses

Locations

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.

• Jeffrey David Garberich, PA-C

  • Physician Assistant
  • Harker Heights, TX
  • NPI 1013999267
  NPD (past)

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

{
    "created_epoch": "1325030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1588933105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 1260",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481887",
            "telephone_number": "254-781-8169",
            "fax_number": "254-781-8244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E CENTRAL TEXAS EXPY",
            "address_2": "SUITE 1260",
            "city": "HARKER HEIGHTS",
            "state": "TX",
            "postal_code": "765481887",
            "telephone_number": "254-781-8169",
            "fax_number": "254-781-8244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABOUT FACE MED SPA & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-28",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "LEJAWA",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/STAFF PHYSICIAN",
        "authorized_official_telephone_number": "254-781-8169",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "N1731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Philip Oran Adams, PA-C
• Emmanuella Temi Adegbola, BCBA

• Primary Care Clinic/Center in Harker Heights, TX
• Providers in Harker Heights, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.