Organization
COMFORT WIGS ETC CO
Active
Other names
Comfort Wigs, ETC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD R. SEAL (PRESIDENT/MANAGER)
(214) 488-8885
Entity
Organization
Contact information
Practice address
2410 S STEMMONS FWY, SUITE C, LEWISVILLE, TX 75067-8777
(214) 488-8885
(972) 316-8885
Mailing address
2410 S STEMMONS FWY, SUITE C, LEWISVILLE, TX 75067-8777
(214) 488-8885
(972) 316-8885
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000127387
SALON
TX
01
—
0007336155
AETNA
TX
01
—
530741
BLUE CROSS BLUE SHIELD TX
TX
Enumeration date
01/10/2008
Last updated
02/01/2011
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