DOLL HOUSE MEDSPA LLC (NPI# 1134622343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134622343 |
| Entity Type | Organization |
| Organization Name | DOLL HOUSE MEDSPA LLC |
| Other Organization Name | DOLL HOUSE MEDSPA & PRIMARY CARE |
| Practice Address |
1205 N Loop 1064 W Suite 225 San Antonio TX 78258 |
| Mailing Address |
1205 N. Loop 1064 W Suite 225 San Antonio TX 78258 |
| Practice Telephone | 2104372759 |
| Practice Fax Number | 2102539302 |
| Mailing Telephone | 2104372759 |
| Mailing Fax Number | 2102539302 |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2018-03-14 |
| Authorized Official Name | MRS. THERESE RIZZO (PARTNER) |
| Authorized Official Telephone | 2108433565 |
| Authorized Official Credential | NURSE PRACTITION |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Doll House Medspa & Primary Care | Doing Business As Name - Organization |
| Street Address |
1205 N LOOP 1064 W SUITE 225 |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78258 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356980163 | Jeffrey M. Martinez, M.d., P.a. | Surgery | 525 Centre Oak Drive, Suite 140, San Antonio, TX 78258 | 2019-12-26 |
| 1588226211 | New Life Brace and Limb, LLC | Prosthetist | 300 E. Sonterra Blvd., Suite 220, San Antonio, TX 78258 | 2019-07-02 |
| 1720649080 | Miguel Ibarra | Pharmacist | 18866 Stone Oak Pkwy., St.101, San Antonio, TX 78258 | 2019-06-26 |
| 1528538113 | Kevin Scott Farnsworth | Dentist | 1130 E. Sonterra Blvd Suite 100, San Antonio, TX 78258 | 2018-11-27 |
| 1891262176 | Dentists of Stone Oak, PC | Dentist | 23714 Hardy Oak Blvd, Suite 110, San Antonio, TX 78258 | 2018-10-25 |
| 1003399437 | Jesus Alcala | Physical Therapist | 20821 Us Hwy 281 N, Ste 110, San Antonio, TX 78258 | 2018-09-11 |
| 1184106544 | Marissa Kaye Bruton | Occupational Therapist | 505 Madison Oak, San Antonio, TX 78258 | 2018-09-02 |
| 1508346933 | Desiree Carroll | Occupational Therapy Assistant | 18803 Hardy Oak Drive, San Antonio, TX 78258 | 2018-08-15 |
| 1700376456 | Conner Jay Mcnabb | Optometrist | 810 Knights Cross Dr Ste 101, San Antonio, TX 78258 | 2018-05-17 |
| 1982191516 | Freehand Solutions LLC | Chiropractor | Nec Stone Oak Parkway & Loop 1604, San Antonio, TX 78258 | 2018-04-19 |
| Find all providers in zip 78258 | ||||
| Taxonomy Code | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124190863 | Peter Harold Wald | Preventive Medicine | 9800 Fredericksburg Rd, Unit 03579, San Antonio, TX 78288-0001 | 2006-11-15 |
| 1457998528 | New Era Wellness Pllc | Preventive Medicine | 1205 N Loop 1604 W Ste 225, San Antonio, TX 78258-4627 | 2019-12-07 |
| 1134292147 | Dean Afif Shoucair | Preventive Medicine | 3551 Roger Brooke Dr, Rm 114-13 (occuptional Health/preventive Medicine), San Antonio, TX 78234-4504 | 2006-11-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790332955 | Healthstat Onsite Clinic Goodyear Beaumont | Preventive Medicine | 11357 Ih 10, Sw @ Smith Road, Beaumont, TX 77720 | 2019-08-22 |
| 1871051763 | Thomas Pace | Preventive Medicine | 808 Glenmont Rd, Keller, TX 76248-0377 | 2019-03-09 |
| 1033690250 | Nicole Eileen Finkelstein | Preventive Medicine | 6009 Seville Dr, Austin, TX 78724-6127 | 2018-08-25 |
| 1104368430 | David E Turner | Preventive Medicine | 6218 Holly Oaks Ct, Fulshear, TX 77441-1134 | 2016-11-17 |
| 1700268950 | Healthstat Onsite Clinic Mvm Cuero | Preventive Medicine | 202 N Gazzie St, Cuero, TX 77954-3730 | 2015-06-24 |
| 1801276142 | Dr Suzanne Schafer Pllc | Preventive Medicine | 2392 Calypso Ln, League City, TX 77573-2795 | 2015-06-02 |
| 1750777140 | Healthstat Onsite Clinic Hsm Arlington Tx | Preventive Medicine | 605 109th St, Suite 300, Arlington, TX 76011-7601 | 2015-04-13 |
| 1871837476 | John Patrick Gibbs | Preventive Medicine | 300 Fischer Store Rd, Wimberley, TX 78676-6425 | 2012-11-20 |
| 1821332776 | Hanlin Liu | Preventive Medicine | 5000 Bayway Dr, Baytown, TX 77520-2123 | 2012-11-15 |
| 1912272477 | John George Mueller | Preventive Medicine | 60 Crown Pl, Richardson, TX 75080-1603 | 2012-03-16 |
| Find all providers with the same taxonomy | ||||
| City | SAN ANTONIO |
| Zip Code | 78258 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.