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Organization

CROWNED WITH GLORY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EUGENIA RENEE FERRELL (CRANIAL PROSTHESIS SPECIALIST)
(817) 312-5121
Entity
Organization

Contact information

Practice address
7263 RUEDA, GRAND PRAIRIE, TX 75054-5526
(817) 312-5121
Mailing address
7263 RUEDA, GRAND PRAIRIE, TX 75054-5526
(817) 312-5121

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
04/21/2026
Last updated
04/21/2026
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