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NPI Code Detail

MEDICARE: TEXTURESHAIR SALON

MEDICARE: TEXTURESHAIR SALON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224P00000XProsthetist

General Provider Information

NPI Number : 1124349196
Entity Type Code : Organization
Provider Name (Legal Business Name) : TEXTURESHAIR SALON
Provider Business Mailing Address
First Line : 18222 CONTOUR RD
Second Line :
City : MONTGOMERY VILLAGE
State : MD
Zip : 20877-2623
Country : US
Telephone Number : 301-237-1522
Fax Number :
Provider Business Practice Location Address
First Line : 18222 CONTOUR RD
Second Line :
City : MONTGOMERY VILLAGE
State : MD
Zip : 20877-2623
Country : US
Telephone Number : 301-237-1522
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PATRICIA LINDSAY
Credential :
Telephone Number : 301-237-1522
Provider Enumeration Date : 06/14/2010
Last Update Date : 06/14/2010

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Directions to “TEXTURESHAIR SALON ” Practice Location

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