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NPI Code Detail

MEDICARE: CRANIAL CONFIDENCE SOLUTIONS LLC

MEDICARE: CRANIAL CONFIDENCE SOLUTIONS LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1396678397
Entity Type Code : Organization
Provider Name (Legal Business Name) : CRANIAL CONFIDENCE SOLUTIONS LLC
Provider Business Mailing Address
First Line : 2626 COLE AVE STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75204-1094
Country : US
Telephone Number : 972-954-4233
Fax Number : 214-845-5530
Provider Business Practice Location Address
First Line : 2626 COLE AVE STE 300
Second Line :
City : DALLAS
State : TX
Zip : 75204-1094
Country : US
Telephone Number : 972-954-4233
Fax Number : 214-845-5530
Authorized Official
Title or Position : OFFICER
Name : SHAM PHILLIPS
Credential :
Telephone Number : 972-809-8987
Provider Enumeration Date : 06/08/2026
Last Update Date : 06/08/2026

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Directions to “CRANIAL CONFIDENCE SOLUTIONS LLC ” Practice Location

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