Healthcare Provider Details

I. General information

NPI: 1154695203
Provider Name (Legal Business Name): HAIR AND SCALP INSTITUTE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2012
Last Update Date: 03/06/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 PATTERSON ST SUITE 202
NASHVILLE TN
37203-2119
US

IV. Provider business mailing address

1900 PATTERSON ST SUITE 202
NASHVILLE TN
37203-2119
US

V. Phone/Fax

Practice location:
  • Phone: 615-942-6526
  • Fax:
Mailing address:
  • Phone: 615-942-6526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207NS0135X
TaxonomyProcedural Dermatology Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. BRIAN ALEXANDER HOROWITZ
Title or Position: TEAM LEAD - BUSINESS DEVELOPMENT
Credential: M.B.A.
Phone: 615-473-8333