SELAH MEDI SPA AND REJUVINATION CENTER (NPI# 1407109663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407109663 |
| Entity Type | Organization |
| Organization Name | SELAH MEDI SPA AND REJUVINATION CENTER |
| Practice Address |
21715 Kingsland Blvd Ste 100 Katy TX 77450-2543 |
| Practice Telephone | 2814926334 |
| Practice Fax Number | 2814926343 |
| Mailing Telephone | 2814926334 |
| Mailing Fax Number | 2814926343 |
| Enumeration Date | 2012-10-24 |
| Last Update Date | 2012-10-24 |
| Authorized Official Name | TRICIA SCHMIDT (OWNER) |
| Authorized Official Telephone | 2814926334 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 193200000X | TX | Other Service Providers |
| Street Address |
21715 KINGSLAND BLVD STE 100 |
| City | KATY |
| State | TX |
| Zip Code | 77450-2543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487651899 | Mary Sue Harrison | Audiologist-Hearing Aid Fitter | 21715 Kingsland Blvd, Suite 105, Katy, TX 77450-2514 | 2005-06-30 |
| 1659661551 | Punita Kashyap Sunder | Pediatrics | 21715 Kingsland Blvd, Suite 103, Katy, TX 77450-2543 | 2011-04-12 |
| 1629392428 | Today's Hearing Inc. | Audiologist | 21715 Kingsland Blvd, 105, Katy, TX 77450 | 2010-03-23 |
| 1609031491 | Dalia Lucia Batista | Pediatrics | 21715 Kingsland Blvd, 103, Katy, TX 77450-2543 | 2008-07-22 |
| 1689837056 | Everyone's Foot Specialist, P.a. | Podiatrist | 21715 Kingsland Blvd, Suite 102, Katy, TX 77450-2543 | 2008-07-07 |
| 1336351386 | Tch Pediatric Associates, Inc. | Pediatrics | 21715 Kingsland Blvd, Suite # 103, Katy, TX 77450-2543 | 2007-05-03 |
| 1861604811 | Breath of Life Research Institute Inc. | Clinic/Center | 21715 Kingsland Blvd, Suite # 103, Katy, TX 77450-2543 | 2007-05-03 |
| 1194941450 | Holly Bronson Black | Nurse Practitioner | 21715 Kingsland Blvd, Katy, TX 77450-2543 | 2007-04-17 |
| 1497805782 | Aracely Palomares Neeley | Social Worker | 21715 Kingsland Blvd, Suite 101, Katy, TX 77450-2543 | 2007-01-11 |
| 1245306463 | Garrett Andrew Bethke | Dentist | 21715 Kingsland Blvd, Suite 105, Katy, TX 77450-2543 | 2006-11-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639652555 | O'brien Counseling Services, Inc. | Counselor | 21368 Provincial Blvd., Katy, TX 77450 | 2018-09-07 |
| 1306327275 | Renova Wellness Clinic | Counselor | 468 Park Grove Ln, Katy, TX 77450 | 2018-08-28 |
| 1639661556 | Health Care Senior Pllc | Family Medicine | 21702 Balsam Brook Ln, Katy, TX 77450 | 2018-06-06 |
| 1679081012 | Mason Sleep & Diagnostics | Clinic/Center | 462 S Mason Rd, Suite 400, Katy, TX 77450 | 2018-01-19 |
| 1508379900 | Mason Diagnostic Imaging | Clinic/Center | 462 S Mason Road, Suite 400, Katy, TX 77450 | 2017-11-08 |
| 1376055384 | Stella Dental Vk Pllc | Dentist | 21040 Highland Knolls Drive, Suite 100, Katy, TX 77450 | 2017-10-31 |
| 1598286031 | Ammon Zukeran Dc Inc | Chiropractor | 416 Park Grove Ln, Katy, TX 77450 | 2017-07-06 |
| 1588191571 | U S Anesthesia Partners of Texas, Pa | Anesthesiology | 777 S Fry Rd Ste 208, Katy, TX 77450 | 2017-05-22 |
| 1629527395 | Christine Margaret Gholston | Counselor | 472 Park Grove, Katy, TX 77450 | 2016-09-23 |
| 1598213928 | Kristina Reyes | Counselor | 633 E. Fernhust Dr., Ste 501, Katy, TX 77450 | 2016-09-14 |
| Find all providers in zip 77450 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396143509 | Sheena Ryan | Specialist | 1935 Ave C, Katy, TX 77493 | 2014-12-22 |
| 1871833608 | Rs Surgical | Specialist | 20111 Kingsland Blvd, Katy, TX 77450-3006 | 2013-02-14 |
| 1225311269 | Samia Raza | Specialist | 21535 Willow Glade Dr, Katy, TX 77450-6306 | 2011-09-26 |
| 1316182496 | Texas Vaccine Institute Co. | Specialist | 5210 Maybrook Park Ln, Katy, TX 77450-8084 | 2008-12-03 |
| 1174739866 | Peter Lombardi | Specialist | 20126 Hardwidge Ct, Katy, TX 77450-3003 | 2007-05-16 |
| 1467507343 | Tara Rizvi | Specialist | 23920 Katy Fwy Ste 240, Katy, TX 77494-0881 | 2007-01-24 |
| 1780796334 | Carolyn Chandler | Specialist | 5011 E 5th St, Katy, TX 77493-2115 | 2006-08-31 |
| 1346252798 | Paul Subrt | Specialist | 1331 West Grand Parkway North, 370, Katy, TX 77493 | 2006-08-13 |
| 1912913484 | Joseph J Oolut | Specialist | 411 Park Grove Dr Ste 310, Katy, TX 77450-1580 | 2006-08-01 |
| 1518996750 | Victor Charles Knopp | Specialist | 2211 N Fry Rd, Suite N, Katy, TX 77449-7225 | 2006-07-01 |
| Find all providers in KATY | ||||
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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.