Organization
HAIR LOSS MANAGEMENT CENTER OF HOUSTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYNESSA PATRICE MCCRAY (OWNER)
(310) 505-7444
Entity
Organization
Contact information
Practice address
13100 WORTHAM CENTER DR FL 3, HOUSTON, TX 77065-5625
(310) 505-7444
Mailing address
11403 BARKER CYPRESS RD STE J, CYPRESS, TX 77433-5398
(310) 505-7444
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073369104
—
TX
Enumeration date
04/29/2024
Last updated
04/29/2024
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