Healthcare Provider Details

I. General information

NPI: 1508208968
Provider Name (Legal Business Name): NARTARSHA DAVIS HAIR LOSS SPECIALIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2013
Last Update Date: 07/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8560 HIGHWAY 6 N SUITE #603
HOUSTON TX
77095-2242
US

IV. Provider business mailing address

17106 WESTMINSTER VILLAGE CT
HOUSTON TX
77084-6476
US

V. Phone/Fax

Practice location:
  • Phone: 832-607-4247
  • Fax: 281-857-6703
Mailing address:
  • Phone: 832-607-4247
  • Fax: 281-857-6703

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744P3200X
TaxonomyProsthetics Case Management
License Number1166570
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: