Provider Demographics
NPI:1336933498
Name:PRICKLY PEAR ELECTROLYSIS LLC
Entity type:Organization
Organization Name:PRICKLY PEAR ELECTROLYSIS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:KELLEY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOFFMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CPE
Authorized Official - Phone:972-922-9555
Mailing Address - Street 1:3601 YUCCA DR # 200
Mailing Address - Street 2:
Mailing Address - City:FLOWER MOUND
Mailing Address - State:TX
Mailing Address - Zip Code:75028-2747
Mailing Address - Country:US
Mailing Address - Phone:214-893-2471
Mailing Address - Fax:
Practice Address - Street 1:3601 YUCCA DR # 200
Practice Address - Street 2:
Practice Address - City:FLOWER MOUND
Practice Address - State:TX
Practice Address - Zip Code:75028-2747
Practice Address - Country:US
Practice Address - Phone:214-893-2471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-05
Last Update Date:2025-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374700000XNursing Service Related ProvidersTechnicianGroup - Single Specialty