Mimi'S Wig Boutique

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MIMI'S WIG BOUTIQUE

Practice address

7522 Campbell Rd Ste 112
Dallas, TX 75248-1726

Phone

(972) 380-5306

NPI assigned

Dec 22, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Richard D Vincent

Title

President

Phone

(972) 392-9968

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1292976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292976000000",
    "number": "1184928756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13626 PEYTON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405524",
            "telephone_number": "972-392-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 CAMPBELL RD STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481726",
            "telephone_number": "972-380-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI'S WIG BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-392-9968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Dianne Miltenberger, PHD
• Avian Jeanette Milton, PHARMD.
• George Brian Milton, LPC
• Kaylie Milton, PT, DPT
• James S Milvenan, MD
• Mimi'S Wig Boutique
• Amanda Mims, MSN, AGNP-C
• Edward Mims, MD
• Linda Marie Mims, LPC
• Douglas Min, M.D.

• Durable Medical Equipment & Medical Supplies in Dallas, TX
• Providers in Dallas, TX by specialty
• Durable Medical Equipment & Medical Supplies in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2010; 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.