My Real Hair

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MY REAL HAIR

Practice address

2232 Palmer TRL
Grand Prairie, TX 75052-1962

Phone

(817) 896-2489

NPI assigned

Mar 2, 2017

Organization subpart

No

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

Authorized official

Name

Gwen Halley

Title

Manager

Phone

(817) 896-2489

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1488412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1295275741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 PALMER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521962",
            "telephone_number": "817-896-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2232 PALMER TRL",
            "city": "GRAND PRAIRIE",
            "state": "TX",
            "postal_code": "750521962",
            "telephone_number": "817-896-2489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY REAL HAIR",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "HALLEY",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "817-896-2489"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susana Munoz Ortiz
• Sorani Munoz
• Adaobi Muorah, MSW
• Alice Wairimu Mwaura, LVN
• Rebecca Anyoso Mwonga, RN, BSN
• Sharon Mavis Adukwei Myers-Tackie, CNP
• N. Carrier Parkway, PC (Carrier Parkway Dental Group)
• Wisam Nachawati, DO
• Justin Thomas Nadeau, ATC, LAT
• Nafiz

• Durable Medical Equipment & Medical Supplies in Grand Prairie, TX
• Providers in Grand Prairie, 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 Mar 2, 2017; 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.