Organization
TOP THIS WIGS, HAIR REPLACEMENT, SALON, MASSAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SAMANTHA ANN BERNACKY (OWNER)
(512) 458-8671
Entity
Organization
Contact information
Practice address
7301 BURNET RD, SUITE 107, AUSTIN, TX 78757-2250
(512) 458-8671
(512) 458-8199
Mailing address
7301 BURNET RD, SUITE 107, AUSTIN, TX 78757-2250
(512) 458-8671
(512) 458-8199
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
729541
TX
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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