Healthcare Provider Details

I. General information

NPI: 1306766977
Provider Name (Legal Business Name): HAIRJONES411 LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/15/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 N COIT RD # 1025
RICHARDSON TX
75080-5400
US

IV. Provider business mailing address

300 N COIT RD # 1025
RICHARDSON TX
75080-5400
US

V. Phone/Fax

Practice location:
  • Phone: 469-818-8602
  • Fax:
Mailing address:
  • Phone: 469-818-8602
  • Fax:

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: MS. KAYLA JONES
Title or Position: OWNER
Credential:
Phone: 469-818-8602