Healthcare Provider Details

I. General information

NPI: 1962335752
Provider Name (Legal Business Name): FANCYHERHAIR LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12808 W AIRPORT BLVD STE 322
SUGAR LAND TX
77478-6223
US

IV. Provider business mailing address

12808 W AIRPORT BLVD STE 322
SUGAR LAND TX
77478-6223
US

V. Phone/Fax

Practice location:
  • Phone: 832-571-5138
  • Fax:
Mailing address:
  • Phone: 832-571-5138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. UGOCHI ORJI
Title or Position: FOUNDER
Credential:
Phone: 832-571-5138