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Organization
MEDICAL WIG BOUTIQUE, LLC
Active
Organization
MEDICAL WIG BOUTIQUE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHLEY HALL (CRANIAL PROTHESIS SPECIALIST)
(713) 715-9448
Entity
Organization
Contact information
Practice address
12514 MILL CT, HOUSTON, TX 77070-4912
(713) 715-9448
(713) 715-9448
Mailing address
12514 MILL CT, HOUSTON, TX 77070
(713) 715-9448
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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