Provider Demographics
NPI:1538801477
Name:GLADICS WELLNESS AND BEAUTY INC.
Entity type:Organization
Organization Name:GLADICS WELLNESS AND BEAUTY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:UJAY
Authorized Official - Middle Name:OKEY
Authorized Official - Last Name:EGBUJI
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:469-540-4306
Mailing Address - Street 1:2711 PONCE DE LEON
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-5510
Mailing Address - Country:US
Mailing Address - Phone:469-540-4306
Mailing Address - Fax:682-222-7535
Practice Address - Street 1:2711 PONCE DE LEON
Practice Address - Street 2:
Practice Address - City:GRAND PRAIRIE
Practice Address - State:TX
Practice Address - Zip Code:75054-5510
Practice Address - Country:US
Practice Address - Phone:469-540-4306
Practice Address - Fax:682-222-7535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-11
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty