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NPI Code Detail

MEDICARE: EUNICES HAIR LLC

MEDICARE: EUNICES HAIR 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
1335E00000XProsthetic/Orthotic Supplier
2332B00000XDurable Medical Equipment & Medical Supplies

General Provider Information

NPI Number : 1740027721
Entity Type Code : Organization
Provider Name (Legal Business Name) : EUNICES HAIR LLC
Provider Business Mailing Address
First Line : 1001 NE GREEN OAKS BLVD STE 109
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-2300
Country : US
Telephone Number : 817-832-9013
Fax Number :
Provider Business Practice Location Address
First Line : 1001 NE GREEN OAKS BLVD STE 109
Second Line :
City : ARLINGTON
State : TX
Zip : 76006-2300
Country : US
Telephone Number : 817-832-9013
Fax Number :
Authorized Official
Title or Position : CRANIAL PROSTHESIS SPECIALIST
Name : EUNICE JOHNSON
Credential : PROSTHETICSPECIALIST
Telephone Number : 817-832-9013
Provider Enumeration Date : 07/09/2024
Last Update Date : 12/02/2025

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Directions to “EUNICES HAIR LLC ” Practice Location

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