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NPI Code Detail

MEDICARE: BBHAIRSHOP LLC

MEDICARE: BBHAIRSHOP LLC
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
1335E00000XProsthetic/Orthotic Supplier

General Provider Information

NPI Number : 1528999661
Entity Type Code : Organization
Provider Name (Legal Business Name) : BBHAIRSHOP LLC
Provider Business Mailing Address
First Line : 3300 OAK LAWN AVE STE 102
Second Line :
City : DALLAS
State : TX
Zip : 75219-5186
Country : US
Telephone Number : 214-734-6596
Fax Number :
Provider Business Practice Location Address
First Line : 3300 OAK LAWN AVE STE 102
Second Line :
City : DALLAS
State : TX
Zip : 75219-5186
Country : US
Telephone Number : 214-734-6596
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : BRANDON STEPHENS
Credential :
Telephone Number : 214-734-6596
Provider Enumeration Date : 05/27/2026
Last Update Date : 05/27/2026

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Directions to “BBHAIRSHOP LLC ” Practice Location

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