Organization
BOMBEAUTY SUPPLY AND SALON
Active
Organization
BOMBEAUTY SUPPLY AND SALON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA SCOTT (OWNER)
(317) 523-6475
Entity
Organization
Contact information
Practice address
3010 LAKE SHORE DR UNIT A, INDIANAPOLIS, IN 46205
(817) 721-5008
Mailing address
8421 WEEPING CHERRY LANE, FT WORTH, TX 76140
(817) 721-5008
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up