Provider Demographics
NPI:1831983618
Name:LUXE AESTHETICS PLLC
Entity type:Organization
Organization Name:LUXE AESTHETICS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORP/ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:CAMMIE
Authorized Official - Middle Name:M
Authorized Official - Last Name:SIFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:870-810-9200
Mailing Address - Street 1:PO BOX 1131
Mailing Address - Street 2:
Mailing Address - City:POCAHONTAS
Mailing Address - State:AR
Mailing Address - Zip Code:72455-1131
Mailing Address - Country:US
Mailing Address - Phone:870-378-3024
Mailing Address - Fax:
Practice Address - Street 1:2103 OLD COUNTY RD STE A
Practice Address - Street 2:
Practice Address - City:POCAHONTAS
Practice Address - State:AR
Practice Address - Zip Code:72455-4137
Practice Address - Country:US
Practice Address - Phone:870-810-9200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center