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Contact Information

PHOENIX MEDICAL SPA PLLC
3006 WILD RIVER RD
MELISSA, TX75454
 Phone: 210-740-4052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PHOENIX MEDICAL SPA PLLC · (Female)

NPI Number 1215872908
Status Active
Credentials
Entity Individual
Enumeration date 04/21/2026
Last updated 04/21/2026 - About 1 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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