HI FASHION BOUTIQUE NPI 1598777831

NPI Information

HI FASHION BOUTIQUE is a prosthetic orthotic supplier in San Antonio, 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. HI FASHION BOUTIQUE NPI is 1598777831. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Hi Fashion Wigs Boutique.

The provider's business location address is:

4522 FREDERICKSBURG RD
A35
SAN ANTONIO, TX
ZIP 78201-521
Phone: (210) 732-7070

The provider's authorized official is Maria Del Soccorro Wilson .
The authorized official title is Ceo/president/owner and has the following contact phone number (210) 732-7070.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 3/20/2011.

Taxonomy Codes

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Other Identifiers

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