Medical Wig Boutique, LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

MEDICAL WIG BOUTIQUE, LLC

Practice address

12514 Mill CT
Houston, TX 77070-4912

Phone

(713) 715-9448

Fax

(713) 715-9448

NPI assigned

Jan 19, 2026

Last updated

Jan 19, 2026By 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

Ashley HallNPI 1609722768

Title

Cranial Prothesis Specialist

Phone

(713) 715-9448

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashley Hall

  • Durable Medical Equipment & Medical Supplies
  • Houston, TX
  • NPI 1609722768
  NPD Authorized official

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

{
    "created_epoch": "1768780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1295694958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12514 MILL CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77070",
            "fax_number": "713-715-9448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12514 MILL CT",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770704912",
            "telephone_number": "713-715-9448",
            "fax_number": "713-715-9448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL WIG BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CRANIAL PROTHESIS SPECIALIST",
        "authorized_official_telephone_number": "713-715-9448"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Houston, TX
• Providers in Houston, 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 Jan 19, 2026; 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.