Provider Demographics
NPI:1740908672
Name:T'S SMILE STUDIO LLC
Entity type:Organization
Organization Name:T'S SMILE STUDIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:TINESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-461-9759
Mailing Address - Street 1:1601 GARTH RD APT 612
Mailing Address - Street 2:
Mailing Address - City:BAYTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:77520-2486
Mailing Address - Country:US
Mailing Address - Phone:832-461-9759
Mailing Address - Fax:
Practice Address - Street 1:1601 GARTH RD APT 612
Practice Address - Street 2:
Practice Address - City:BAYTOWN
Practice Address - State:TX
Practice Address - Zip Code:77520-2486
Practice Address - Country:US
Practice Address - Phone:832-461-9759
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-17
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX23317152OtherDRIVING LICENSE