Healthcare Provider Details

I. General information

NPI: 1285572925
Provider Name (Legal Business Name): ASIL HAIR
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

701 1ST TER
PLEASANT GROVE AL
35127-1848
US

IV. Provider business mailing address

701 1ST TER
PLEASANT GROVE AL
35127-1848
US

V. Phone/Fax

Practice location:
  • Phone: 205-774-9658
  • Fax:
Mailing address:
  • Phone: 205-774-9658
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. LISA WARREN
Title or Position: CRANIAL PROSTHETIC SPECIALIST
Credential:
Phone: 205-774-9658