Provider Type Icon

I.C.U INDEPENDENT COMMUNITY UPLIFT NPI 1811616196


NPI Information

NPI: 1811616196
Provider Name: I.C.U INDEPENDENT COMMUNITY UPLIFT

Doing Business As: BWC BEAUTY

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1910 PACIFIC AVE # 12015
DALLAS, TX
ZIP 75201
Phone: (972) 803-5940
Get Directions

I.C.U INDEPENDENT COMMUNITY UPLIFT is a customized equipment durable medical equipment medical supplies in Dallas, TX. I.C.U INDEPENDENT COMMUNITY UPLIFT NPI is 1811616196. The provider is registered as an organization entity type.
The provider Is Doing Business As Bwc Beauty.

The provider's business location address is:

1910 PACIFIC AVE # 12015
DALLAS, TX
ZIP 75201-529
Phone: (972) 803-5940
Fax: (214) 484-1972

The provider's authorized official is Quantae Thomas .
The authorized official title is President and has the following contact phone number (214) 727-5791.

The enumeration date for this NPI number is 8/22/2022 and was last updated on 8/5/2023.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesNo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.