# MIRACLES AND MANE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Miracles and Mane Incorporated
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992294151
- **Authorized official:** ANNSONIA LOUISE THOMAS (EXECUTIVE ASSISTANT OF OPERATIONS)
- **Authorized official phone:** (254) 312-7012

## Contact information

- **Practice address:** 4524 S W S YOUNG DR STE 102, KILLEEN, TX 76542-5888
- **Practice address phone:** (254) 702-2079
- **Mailing address:** 4524 S W S YOUNG DR STE 102, KILLEEN, TX 76542-5888
- **Mailing address phone:** (254) 702-2079

## Taxonomy

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

## Other

- **Enumeration date:** 05/03/2018
- **Last updated:** 05/03/2018