Organization
SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC
Active
Parent organization
SURVIVOR GALS SPECIALTY PRODUCTSAND SALON LLC
Other names
Survivor Gals Specialty Products Fort Worth
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURVIVOR GALS SPECIALTY PRODUCTSAND SALON LLC
Authorized official
JENNIFER GRUNWALD (OWNER)
(972) 599-7677
Entity
Organization
Contact information
Practice address
1400 8TH AVE STE 100-A, FORT WORTH, TX 76104-4110
(817) 924-8800
(817) 924-5500
Mailing address
3000 CUSTER RD STE 190, PLANO, TX 75075-2082
(972) 599-7677
(972) 599-1011
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Enumeration date
02/03/2011
Last updated
09/13/2011
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