Surreal Luxury Hair Bouquet

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SURREAL LUXURY HAIR BOUQUET

Practice address

1930 Kingsley Dr Apt 16108
Pearland, TX 77584-3875

Phone

(713) 592-3777

NPI assigned

Jan 5, 2021

Last updated

Jan 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Linda Phillips-Hall

Title

Owner

Phone

(713) 592-3777

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1609804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609804800000",
    "number": "1205424330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 KINGSLEY DR APT 16108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 KINGSLEY DR APT 16108",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775843875",
            "telephone_number": "713-592-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURREAL LUXURY HAIR BOUQUET",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS-HALL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-592-3777"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "3464234558",
            "affiliation": "N",
            "endpointDescription": "Fax",
            "address_1": "1930 Kingsley Dr Apt 16108",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775843875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sunrise Vista LLC
• Super Brother LLC (TJ Foot Spa)
• Claude Romuald Superville, PHD, THD, DBC
• Supervista North America (brillen.com)
• Kashonna Surge
• Susie Surgical Assistant Services LLC
• Rigoberto Rene Sustayta
• Shana Sutcliffe, L.P.C.
• Byron Stephen Sutherland, L.P.C.
• Elaine Sutton

• Prosthetic/Orthotic Supplier in Pearland, TX
• Providers in Pearland, 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 Jan 5, 2021; 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.