Your Image Boutique Inc

LBN: Your Image Boutique Inc
Your Image Boutique Inc is an health care organization with primary practice located at 3401 Montana Ave , El Paso TX 79903-4330. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Your Image Boutique Inc can be contacted via phone (915) 564-5923, or through Martinez, Elizabeth Lorraine via phone (915) 564-5923.

Contact Information

Primary practice address
3401 Montana Ave El Paso TX 79903-4330
Fax: (915) 565-1310
Website:
Authorized official contact:
Name: Martinez, Elizabeth Lorraine CMF

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X

Profile Details

NPI number 1922105899
LBN Legal business name Your Image Boutique Inc
DBA Doing business as
Authorized official Martinez, Elizabeth Lorraine CMF
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2006
Last updated Apr 23rd, 2013 - about 11 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 1922105899 NPPES
Texas MEDICAID 010688201

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