Positive Hair Restoration

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

POSITIVE HAIR RESTORATION

Practice address

100 Independence PL Ste 309
Tyler, TX 75703-1328

Phone

(903) 561-9697

NPI assigned

Mar 31, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Crystina Garcia

Title

Owner

Phone

(903) 561-9697

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585612800000",
    "number": "1073141354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE PL STE 309",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031328",
            "telephone_number": "903-561-9697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 INDEPENDENCE PL STE 309",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757031328",
            "telephone_number": "903-561-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE HAIR RESTORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-31",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CRYSTINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-561-9697"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennafer Marie Porter, C.O,T.A
• Roger William Porter, MD
• Monica Portillo
• Latasha Portley, RN
• Noemi Posada
• Ara Potestas, PHARM D.
• Chasity Potts
• Chhabindra Poudel, MD
• Saroj Poudel
• Anna Poulos

• Prosthetic/Orthotic Supplier in Tyler, TX
• Providers in Tyler, TX by specialty
• Prosthetic/Orthotic Supplier in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.