Healthcare Provider Details

I. General information

NPI: 1548184146
Provider Name (Legal Business Name): CROWNED CONFIDENCE STUDIO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 INDIAN TRL STE 108
HARKER HEIGHTS TX
76548-1370
US

IV. Provider business mailing address

4105 CAMBRIDGE DR APT B
KILLEEN TX
76549-5520
US

V. Phone/Fax

Practice location:
  • Phone: 254-803-0573
  • Fax:
Mailing address:
  • Phone: 254-278-0213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: ZULA CATHERINE HARGROVE
Title or Position: MANAGER
Credential: HARGROVE
Phone: 254-278-0213