MIMI'S WIG BOUTIQUE NPI 1184928756

NPI Information

MIMI'S WIG BOUTIQUE is a durable medical equipment medical supplies in Dallas, TX. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. MIMI'S WIG BOUTIQUE NPI is 1184928756. The provider is registered as an organization entity type.

The provider's business location address is:

7522 CAMPBELL RD STE 112
DALLAS, TX
ZIP 75248-726
Phone: (972) 380-5306

The provider's authorized official is Richard D Vincent .
The authorized official title is President and has the following contact phone number (972) 392-9968.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 12/22/2010.

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:

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