Provider Type Icon

COSMETIC IMAGE LASER SOLUTION LLC NPI 1760664650


NPI Information

NPI: 1760664650
Provider Name: COSMETIC IMAGE LASER SOLUTION, LLC

Doing Business As: CREATIVE IMAGE LASER SOLUTION

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
3661 HWY 377 SOUTH
BROWNWOOD, TX
ZIP 76801
Phone: (325) 642-4014
Get Directions

COSMETIC IMAGE LASER SOLUTION, LLC is an internal medicine in Brownwood, TX. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. COSMETIC IMAGE LASER SOLUTION, LLC NPI is 1760664650. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creative Image Laser Solution.

The provider's business location address is:

3661 HWY 377 SOUTH
BROWNWOOD, TX
ZIP 76801-900
Phone: (325) 642-4014

The provider's authorized official is Gary N Butka .
The authorized official title is Owner and has the following contact phone number (325) 642-4014.

The enumeration date for this NPI number is 12/3/2007 and was last updated on 11/18/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal MedicineG6479TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G6479OTHERTEXASTX MEDICAL LICENSE
28F8534MEDICARE PINTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.