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Organization
THEBRAIDER HAIR ACADEMY LLC
Active
Organization
THEBRAIDER HAIR ACADEMY LLC
Active
Other names
Custom Medical Wigs
Organization subpart
No
Provider details
NPI number
Authorized official
LAQUEITA DAVIS (MANAGER)
(214) 728-5900
Entity
Organization
Contact information
Practice address
1314 S MAIN ST STE 300, DUNCANVILLE, TX 75137-3272
(469) 563-2441
Mailing address
1314 S MAIN ST STE 300, DUNCANVILLE, TX 75137-3272
(469) 563-2441
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NULL
332BC3200X
Customized Equipment (DME)
—
NULL
Other
Enumeration date
11/13/2024
Last updated
01/11/2026
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