Organization
SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC
Active
Other names
Survivor Gals Irving
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER GRUNWALD (OWNER)
(972) 599-7677
Entity
Organization
Contact information
Practice address
2001 N MACARTHUR BLVD STE 130, IRVING, TX 75061-2250
(972) 579-9700
(972) 579-9701
Mailing address
3000 CUSTER RD STE 190, PLANO, TX 75075-2082
(972) 599-7677
(972) 599-1011
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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