Organization
TRUST DA BARBER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS LEE SIMMS CERT HAIR LOSS SPEC (CERTIFIED HAIR LOSS SPECIALIST)
(512) 207-0112
Entity
Organization
Contact information
Practice address
1500 S A W GRIMES BLVD STE 100, ROUND ROCK, TX 78664-7838
(512) 207-0112
Mailing address
PO BOX 1612, PFLUGERVILLE, TX 78691-1612
(512) 207-0112
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
09/25/2018
Last updated
09/25/2018
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