| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ISABELLE CAMBOULIVES XENOS | 1699381103 | 2020-09-20 |
Isabelle Camboulives Xenos is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1699381103. Registration indicates Isabelle Camboulives Xenos is a provider of services with a specialization in Respiratory, Developmental, Rehabilitative and Restorative Service Providers, Massage Therapist (Massage Therapist, ) (Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers)
| Entity Type | Individual |
| Provider Name | Isabelle Camboulives Xenos LMT |
| Practice Office Address | 265 HEATHERWOOD DR DRIFTWOOD, TX US |
| Practice Office Telephone | 7148565150 |
| Mailing Address | 265 HEATHERWOOD DR DRIFTWOOD, TX 786198078 US |
| Business Telephone | 7148565150 |
| SOAP notes [SOAP notes] | iphone | Other SOAP notes |
| Code | Practice | License No State |
|---|---|---|
| 225700000X PRIMARY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Massage Therapist Massage Therapist Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers | MT114405
TX |
| 193400000X SING | Group Code |
| MT114405 | OTHER | TX | TEXAS DEPARTMEN |