Organization
HAIR SEW GORGEOUS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONDRA WOMACK (OWNER)
(972) 998-2202
Entity
Organization
Contact information
Practice address
2021 N HAMPTON RD STE 160, DESOTO, TX 75115-8625
(972) 998-2202
(214) 833-5627
Mailing address
104 E OVILLA RD UNIT 35, RED OAK, TX 75154-9203
(972) 998-2202
(214) 833-5627
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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