EXTRAVAGANT HAIR STUDIO NPI 1407303605

NPI Information

EXTRAVAGANT HAIR STUDIO is a prosthetic orthotic supplier in Houston, TX. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. EXTRAVAGANT HAIR STUDIO NPI is 1407303605. The provider is registered as an organization entity type.

The provider's business location address is:

12810 MILLS BREEZE DR
HOUSTON, TX
ZIP 77070-381
Phone: (216) 323-9969

The provider's authorized official is Bennetta Joyce Reynolds .
The authorized official title is Hair Prosthesis Specialist and has the following contact phone number (216) 323-9969.

The enumeration date for this NPI number is 9/6/2016 and was last updated on 9/6/2016.

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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