Healthcare Provider Details

I. General information

NPI: 1740027721
Provider Name (Legal Business Name): EUNICES HAIR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2024
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 NE GREEN OAKS BLVD STE 109
ARLINGTON TX
76006-2300
US

IV. Provider business mailing address

1001 NE GREEN OAKS BLVD STE 109
ARLINGTON TX
76006-2300
US

V. Phone/Fax

Practice location:
  • Phone: 817-832-9013
  • Fax:
Mailing address:
  • Phone: 817-832-9013
  • Fax: 682-252-7041

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: EUNICE JOHNSON
Title or Position: CRANIAL PROSTHESIS SPECIALIST
Credential: PROSTHETICSPECIALIST
Phone: 817-832-9013