Provider Demographics
NPI:1417562430
Name:SOZO 2 YOU SKINCARE AND MASSAGE, LLC
Entity Type:Organization
Organization Name:SOZO 2 YOU SKINCARE AND MASSAGE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MASSAGE THERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:LMT
Authorized Official - Phone:713-998-7846
Mailing Address - Street 1:PO BOX 741343
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77274-1343
Mailing Address - Country:US
Mailing Address - Phone:713-998-7846
Mailing Address - Fax:
Practice Address - Street 1:11200 BROADWAY ST
Practice Address - Street 2:STE 1410 ROOM#28
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77584-7758
Practice Address - Country:US
Practice Address - Phone:713-998-7846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-15
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1225404718Medicaid
TX1821454877Medicaid