Organization
HAIR SPECIALTY SUPPLY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LELA Z HAMILTON (OWNER)
(210) 367-3800
Entity
Organization
Contact information
Practice address
5707 CIBOLO CANYON BLVD, 1617, SAN ANTONIO, TX 78261-2773
(210) 367-3800
Mailing address
5707 CIBOLO CANYON BLVD, 1617, SAN ANTONIO, TX 78261-2773
(210) 367-3800
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
1011437
TX
Other
Enumeration date
12/07/2007
Last updated
07/04/2008
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