Organization
SURREAL LUXURY HAIR BOUQUET
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA PHILLIPS-HALL (OWNER)
(713) 592-3777
Entity
Organization
Contact information
Practice address
1930 KINGSLEY DR APT 16108, PEARLAND, TX 77584-3875
(713) 592-3777
Mailing address
1930 KINGSLEY DR APT 16108, PEARLAND, TX 77584-3875
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
01/05/2021
Last updated
01/05/2021
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