Provider Demographics
NPI:1780340844
Name:TRU LUXE MEDSPA AND WELLNESS
Entity type:Organization
Organization Name:TRU LUXE MEDSPA AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:PAULETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SENEGAL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, FNP-C
Authorized Official - Phone:346-296-0520
Mailing Address - Street 1:20502 SPRING ASPEN LN
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77388-5539
Mailing Address - Country:US
Mailing Address - Phone:346-296-0520
Mailing Address - Fax:
Practice Address - Street 1:5529 LOUETTA RD STE A7
Practice Address - Street 2:
Practice Address - City:SPRING
Practice Address - State:TX
Practice Address - Zip Code:77379-7883
Practice Address - Country:US
Practice Address - Phone:346-296-0520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center