THE 1929 BOUTIQUE LLC NPI 1831097468

NPI Information

  • NPI: 1831097468
  • Provider Name: THE 1929 BOUTIQUE, LLC
  • Classification: Mastectomy Fitter - 224900000X
  • Entity Type: Organization
  • Address: 5105 SUNMORE CIR STE A
    MIDLAND, TX
    ZIP 79707
  • Phone: (432) 557-5572

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NPI Details

THE 1929 BOUTIQUE, LLC is a mastectomy fitter in Midland, TX. The provider is an individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services. THE 1929 BOUTIQUE, LLC NPI is 1831097468. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5105 SUNMORE CIR STE A
MIDLAND, TX
ZIP 79707-197
Phone: (432) 557-5572

The provider's authorized official is Christina Elaine Ramos .
The authorized official title is Owner/fitter and has the following contact phone number (432) 557-5572.

The enumeration date for this NPI number is 10/26/2026 and was last updated on 10/26/2026.

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
1224900000XMastectomy FitterYes

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: 11/21/2025

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