Organization
REVIVED BEAUTY LLC
Active
Other names
Her Power Rx Health Solutions, Revived Beauty Prescription Wigs, ResilientMed Solutions Group
Organization subpart
No
Provider details
NPI number
Authorized official
TAUNYA FORD (CHIEF EXECUTIVE OFFICER)
(210) 708-1262
Entity
Organization
Contact information
Practice address
1100 NW LOOP 410 STE 700, SAN ANTONIO, TX 78213-2258
(210) 708-1262
Mailing address
10106 TERCERO ST, SAN ANTONIO, TX 78224-4478
(210) 708-1262
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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