Provider Demographics
NPI:1023899648
Name:ALLURE BODYLUX PLLC
Entity type:Organization
Organization Name:ALLURE BODYLUX PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MASSAGE THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:TYKISHA
Authorized Official - Middle Name:N
Authorized Official - Last Name:GRACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-347-3274
Mailing Address - Street 1:10228 COLONEL RDG
Mailing Address - Street 2:
Mailing Address - City:SCHERTZ
Mailing Address - State:TX
Mailing Address - Zip Code:78154-3481
Mailing Address - Country:US
Mailing Address - Phone:121-034-7327
Mailing Address - Fax:
Practice Address - Street 1:123 E WRIGHT BLVD
Practice Address - Street 2:
Practice Address - City:UNIVERSAL CITY
Practice Address - State:TX
Practice Address - Zip Code:78148-4437
Practice Address - Country:US
Practice Address - Phone:210-347-3274
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health