Organization
THE WIG DOCTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARLA HARVEY DEASON (DIRECTOR)
(214) 622-8328
Entity
Organization
Contact information
Practice address
115 GLACIER LN, CEDAR HILL, TX 75104-1364
(214) 622-8328
(972) 291-8002
Mailing address
115 GLACIER LN, CEDAR HILL, TX 75104-1364
(214) 622-8328
(972) 291-8002
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/19/2009
Last updated
02/19/2009
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