# REVIVED BEAUTY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Her Power Rx Health Solutions, Revived Beauty Prescription Wigs, ResilientMed Solutions Group
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053137638
- **Authorized official:** TAUNYA FORD (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (210) 708-1262

## Contact information

- **Practice address:** 1100 NW LOOP 410 STE 700, SAN ANTONIO, TX 78213-2258
- **Practice address phone:** (210) 708-1262
- **Mailing address:** 10106 TERCERO ST, SAN ANTONIO, TX 78224-4478
- **Mailing address phone:** (210) 708-1262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | Yes |

## Other

- **Enumeration date:** 11/27/2024
- **Last updated:** 11/27/2024
