Organization
CONFIDENCE RENEWED MEDICAL WIGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATANISHA BROWN (OWNER)
(254) 285-8448
Entity
Organization
Contact information
Practice address
1508 BRIAR LN, KILLEEN, TX 76543-5050
(512) 920-3071
Mailing address
1508 BRIAR LN, KILLEEN, TX 76543-5050
(512) 920-3071
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
10/15/2025
Last updated
10/15/2025
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