Organization
INSPIRED DESIGNS HAIR SALON & BARBERSHOP & SPA LLC
Active
Other names
INSPIRED DESIGNS HAIR LOSS & HAIR REPLACEMENT SERVICES, INSPIRED DESIGNS HAIR SALON, HAIR LOSS & HAIR REPLACEMENT CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DERINA LAVETTE GARCIA CHRS (CERTIFIED HAIR REPLACEMENT SPECIALI)
(254) 220-9921
Entity
Organization
Contact information
Practice address
3901 E STAN SCHLUETER LOOP STE 201, KILLEEN, TX 76542-4554
(254) 220-9921
(254) 731-4232
Mailing address
5214 SILTSTONE LOOP, KILLEEN, TX 76542-5815
(254) 220-9921
(254) 731-4232
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1178165
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1669920575
NPI
TX
Enumeration date
01/10/2018
Last updated
06/16/2018
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