Skin Concierge, Llc.

LBN: Skin Concierge, Llc.
Skin Concierge, Llc. is an health care organization with primary practice located at 1310 W. St. Mary'S Road 2Nd Floor, Suite A, Tucson AZ 85745. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, which is considered as the primary health care specialty. Skin Concierge, Llc. can be contacted via phone (520) 333-5973, or through Mattox, Destiny Gypsylee via phone (520) 333-5973.

Contact Information

Primary practice address
1310 W. St. Mary'S Road 2Nd Floor, Suite A Tucson AZ 85745
Phone: (520) 333-5973
Fax: (520) 221-2318
Website:
Map and Directions
Authorized official contact:
Name: Mattox, Destiny Gypsylee
Phone: (520) 333-5973

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology 207NI0002X

Profile Details

NPI number 1497270664
LBN Legal business name Skin Concierge, Llc.
DBA Doing business as
Authorized official Mattox, Destiny Gypsylee
Entity Organization
Organization subpart 1 No
Enumeration date Aug 9th, 2017
Last updated Mar 30th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497270664 NPPES
Arizona MEDICAID 162831

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