Organization
ELITE HAIR STRANDS LLC
Active
Other names
Touched By Nellie
Organization subpart
No
Provider details
NPI number
Authorized official
JEANELLE BRINKLEY (OWNER)
(682) 465-5231
Entity
Organization
Contact information
Practice address
4609 MARKS IV PKWY, FORT WORTH, TX 76161
(682) 465-5231
Mailing address
4609 MARKS IV PKWY, FORT WORTH, TX 76161
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
320729774481
TAX ID
TX
Enumeration date
01/24/2020
Last updated
01/24/2020
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