Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Divine Beauty Bar, LLC

Organization Prosthetics Case Management · NPI 1902399942

Divine Beauty Bar, LLC is a Prosthetics Case Management in Houston, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018
Specialties on file
6
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4201 Cypress Creek Pkwy Ste 322
Houston, TX 77068-3414
Phone: (469) 499-6200
Fax: (469) 519-5839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X
Prosthetics Case Management Taxonomy 1744P3200X · Licence 1449535 (TX)
Home Health Agency Taxonomy 251E00000X
Community Based Hospice Care Agency Taxonomy 251G00000X
Prosthetic/Orthotic Supplier Taxonomy 335E00000X
Non-emergency Medical Transport (VAN) Taxonomy 343900000X

Record details

NPI number1902399942
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dezaree' Lusk — Owner · (469) 499-6200
NPI enumeratedJune 13, 2018
Last updated in NPPESApril 30, 2025
Certification dateApril 30, 2025
Mailing address4201 Cypress Creek Pkwy Ste 322, Houston, TX 77068-3414

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