MEDICARE: KOTA ME PATATES DBA RUBY'S WIG 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
1	335E00000X	Prosthetic/Orthotic Supplier

General Provider Information

NPI Number	:	1790378677
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KOTA ME PATATES DBA RUBY'S WIG SALON

Provider Business Mailing Address
First Line	:	1515 BINGLE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3226
Country	:	US
Telephone Number	:	713-464-3767
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 BINGLE RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77055-3226
Country	:	US
Telephone Number	:	713-464-3767
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GEORGE HARRY ZOES
Credential	:
Telephone Number	:	713-464-3767

Provider Enumeration Date	:	02/11/2021
Last Update Date	:	03/08/2021

Similar Medicare Providers

1356388748 — RUBY'S WIG SALON
Practice Location Address:

1515 BINGLE RD
HOUSTON, TX
77055-3226

Practice Phone: 713-464-3767
Practice Fax:

1841449386 — DR. SHADI ABEDIN DDS, CAGS
Practice Location Address:

1121 UPTOWN PARK BLVD STE 19
HOUSTON, TX
77056-3226

Practice Phone: 713-227-6687
Practice Fax:

1003877697 — DR. GREG RICHARDS D.D.S.
Practice Location Address:

1121-19 UPTOWN PARK BLVD
HOUSTON, TX
77056-3226

Practice Phone: 713-782-8100
Practice Fax: 713-621-6261

1699870246 — LAURA M WOLSKI D.P.T.
Practice Location Address:

11200 WESTHEIMER RD STE 235
HOUSTON, TX
77042-3226

Practice Phone: 713-781-1401
Practice Fax:

1154460103 — THERESA C BERNIARD CRNA
Practice Location Address:

3023 FAIRHOPE ST
HOUSTON, TX
77025-3226

Practice Phone: 713-376-1386
Practice Fax:

1861699381 — DR. JAMES G MOORE DDS
Practice Location Address:

1121 UPTOWN PARK BLVD STE 19
HOUSTON, TX
77056-3226

Practice Phone: 713-621-4830
Practice Fax: 713-621-6261

Directions to “KOTA ME PATATES DBA RUBY'S WIG SALON ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.