MEDICARE: HAIROHOLIC 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
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1669261574
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAIROHOLIC LLC

Provider Business Mailing Address
First Line	:	20020 FM 1093 RD APT 1212
Second Line	:
City	:	RICHMOND
State	:	TX
Zip	:	77407-3893
Country	:	US
Telephone Number	:	913-218-8860
Fax Number	:

Provider Business Practice Location Address
First Line	:	8307 BEECHNUT ST STE B
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77036-6853
Country	:	US
Telephone Number	:	913-481-5653
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA WASCHNECK
Credential	:
Telephone Number	:	913-481-5653

Provider Enumeration Date	:	05/06/2025
Last Update Date	:	05/06/2025

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Directions to “HAIROHOLIC LLC ” Practice Location

Language	Start Address	Practice Location

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