Provider Demographics
NPI:1619658689
Name:THE BETTER BODY SHOP WOMEN'S CARE & MEDSPA
Entity Type:Organization
Organization Name:THE BETTER BODY SHOP WOMEN'S CARE & MEDSPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:EBONY
Authorized Official - Middle Name:
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:WNP
Authorized Official - Phone:832-377-6949
Mailing Address - Street 1:4224 CYPRESS CREEK PARKWAY
Mailing Address - Street 2:SUITE 304
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77068
Mailing Address - Country:US
Mailing Address - Phone:832-377-6949
Mailing Address - Fax:832-802-6645
Practice Address - Street 1:4224 CYPRESS CREEK PARKWAY
Practice Address - Street 2:SUITE 304
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77068
Practice Address - Country:US
Practice Address - Phone:832-377-6949
Practice Address - Fax:832-802-6645
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-31
Last Update Date:2023-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0050XAmbulatory Health Care FacilitiesClinic/CenterFamily Planning, Non-Surgical