Painted Halos LLC

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Legal business name

PAINTED HALOS LLC

Practice address

3615 W Pioneer Pkwy Ste E
Pantego, TX 76013-4518

Phone

(817) 437-0312

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Teri HolsebergNPI 1497468730

Title

Owner

Phone

(817) 437-0312

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.

• Teri Yvonne Holseberg, MEDICAL TATTOO

  • Other Specialist/Technologist
  • Pantego, TX
  • NPI 1497468730

  Specialist/Technologist, Other

  NPD Authorized official

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

{
    "created_epoch": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1790565950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3615 W PIONEER PKWY STE E",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134518",
            "telephone_number": "817-437-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 W PIONEER PKWY STE E",
            "city": "PANTEGO",
            "state": "TX",
            "postal_code": "760134518",
            "telephone_number": "817-437-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINTED HALOS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "HOLSEBERG",
        "authorized_official_first_name": "TERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-437-0312"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brianna Ortiz
• Laura Overton, MA, CCC-SLP, BRS-FD
• Palmtree Healthcare Services
• Pantego Injury Clinic Inc
• Jonathan Parks, DC
• Ashley Parrish, LMSW
• Peach Pharmacy, LLC

• Other Specialist/Technologist in Pantego, TX
• Providers in Pantego, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2023; 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.