LICE LICE BABY, LLC (NPI# 1629593496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629593496 |
| Entity Type | Organization |
| Organization Name | LICE LICE BABY, LLC |
| Other Organization Name | LICE CLINICS OF AMERICA ROUND ROCK |
| Practice Address |
1700 Bryant Dr Round Rock TX 78664-3897 |
| Mailing Address |
2362 Caprock Pl Georgetown TX 78626-7347 |
| Practice Telephone | 5127430234 |
| Mailing Telephone | 5127430234 |
| Enumeration Date | 2017-08-14 |
| Last Update Date | 2017-08-14 |
| Authorized Official Name | MRS. MARY KATHERINE BAUER (OWNER) |
| Authorized Official Telephone | 5127430234 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 247200000X | Technician, Other | Technologists, Technicians & Other Technical Service Providers |
| Other Name | Type Code |
|---|---|
| Lice Clinics of America Round Rock | Doing Business As Name - Organization |
| Street Address |
1700 BRYANT DR |
| City | ROUND ROCK |
| State | TX |
| Zip Code | 78664-3897 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710526900 | Yan Wei Chan | Acupuncturist | 894 Summit St. Suite 109, Round Rock, TX 78664 | 2020-01-06 |
| 1285139030 | Coffee Rx LLC | Pharmacy | 106 S Mays St Ste 100, Round Rock, TX 78664 | 2018-03-26 |
| 1508369224 | Daniel Bernard Hall | Nurse Practitioner | 1700 East Palm Valley Blvd, Roundrock, TX 78664 | 2018-03-09 |
| 1407361561 | Double Creek Assisted Living Lp | Assisted Living Facility | 3200 Louis Henna Blvd., Round Rock, TX 78664 | 2017-12-11 |
| 1396254694 | Gezahgne T Bogale | Driver | 1908 Huxley Ln, Round Rock, TX 78664 | 2017-09-29 |
| 1942728563 | Kathryn Dufresne | Massage Therapist | 896 Summit Street Suite 104b, Round Rock, TX 78664 | 2017-09-04 |
| 1699213686 | I&r Health Services | Case Management | 2501 Louis Henna Blvd Apt 914, Round Rock, TX 78664 | 2017-02-09 |
| 1588018394 | The Heidi Group | Family Medicine | 894 Summit St Ste 108, Round Rock, TX 78664 | 2016-04-18 |
| 1902264963 | Round Rock Emergency Physicians | Clinic/Center | 1925 Aw Grimes Blvd, Round Rock, TX 78664 | 2016-02-05 |
| 1508230137 | Michael Fuentes | Community Health Worker | 117-b Louis Henna Blvd, Ste. 200, Round Rock, TX 78664 | 2015-11-19 |
| Find all providers in zip 78664 | ||||
| Taxonomy Code | 247200000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Other |
| A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user. |
| Notes: Sources: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988; Dorland’s Illustrated Medical Dictionary, 26th Edition. Philadelphia: W.B. Saunders Company, 1981; and Webster’s II New Riverside University Dictionary. Boston: Riverside Publishing Company, 1984. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700241288 | Gabriel Rodriguez | Technician, Other | 1213 Dayton Dr, Round Rock, TX 78665-1168 | 2015-12-28 |
| 1962919548 | Lyrica Noelle Clark | Technician, Other | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2018-01-04 |
| 1548773070 | Noelle Calabrese | Technician, Other | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2017-11-06 |
| 1447702790 | Lacey Miller | Technician, Other | 2237 Buena Vista Ln, Round Rock, TX 78665-5624 | 2016-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174120083 | Pablo Gonzales IIi | Technician, Other | 10114 Stella Link Rd Ste A-2, Houston, TX 77025-5300 | 2020-10-04 |
| 1477160315 | Kaili Kennedy | Technician, Other | 66 Daughtrey Ave Apt 516, Waco, TX 76706-1677 | 2020-09-24 |
| 1194338673 | Porscha Williams | Technician, Other | 2520 Echo Point Dr, Fort Worth, TX 76123-1136 | 2020-08-25 |
| 1245857580 | Tara Latonya Cooper | Technician, Other | 1743 Troup Hwy, Tyler, TX 75701-5869 | 2020-07-02 |
| 1295351914 | Richard Allen Majors | Technician, Other | 6429 Green Ridge Dr, Watauga, TX 76148-1414 | 2020-06-18 |
| 1740824804 | Sara Wolfe | Technician, Other | 4245 N Central Expy Ste 450, Dallas, TX 75205-4530 | 2019-11-01 |
| 1265075048 | Juliana Dubey | Technician, Other | 400 E. Royal Ln, Building 3, Suite 290, Irving, TX 75039 | 2019-10-23 |
| 1154963007 | Alex Robert Langford | Technician, Other | 1901 N. Glenville Dr., Suite 501, Richardson, TX 75081 | 2019-10-11 |
| 1518517762 | Clayton Ernest Robertson | Technician, Other | 5555 N Lamar Blvd Ste D113, Austin, TX 78751-1075 | 2019-09-18 |
| 1013561778 | Joslyn Love | Technician, Other | 1228 Timber Ln, Frisco, TX 75036-1743 | 2019-07-30 |
| Find all providers with the same taxonomy | ||||
| City | ROUND ROCK |
| Zip Code | 78664 |
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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.