Hair Sew Gorgeous

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

HAIR SEW GORGEOUS

Practice address

2021 N Hampton Rd Ste 160
Desoto, TX 75115-8625

Phone

(972) 998-2202

Fax

(214) 833-5627

NPI assigned

Apr 28, 2020

Organization subpart

No

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

Authorized official

Name

Dondra Womack

Title

Owner

Phone

(972) 998-2202

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1588032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588032000000",
    "number": "1164043444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 E OVILLA RD UNIT 35",
            "city": "RED OAK",
            "state": "TX",
            "postal_code": "751549203",
            "telephone_number": "972-998-2202",
            "fax_number": "214-833-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N HAMPTON RD STE 160",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751158625",
            "telephone_number": "972-998-2202",
            "fax_number": "214-833-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR SEW GORGEOUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-28",
        "last_updated": "2020-04-28",
        "certification_date": "2020-04-28",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "DONDRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-998-2202"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "(214)833-5627",
            "affiliation": "N",
            "endpointDescription": "Fax Machine",
            "address_1": "104 E Ovilla Rd Unit 35",
            "city": "Red Oak",
            "state": "TX",
            "country_code": "US",
            "postal_code": "751549203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Desoto, TX
• Providers in Desoto, 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 Apr 28, 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.