Gyzele'S Hair Boutique

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

GYZELE'S HAIR BOUTIQUE

Practice address

1104 W Sunflower Rd
Cleveland, MS 38732-2440

Phone

(662) 394-5084

Fax

(662) 262-5995

NPI assigned

Apr 25, 2020

Organization subpart

No

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

Authorized official

Name

Gyzele Brown

Title

Owner

Phone

(662) 394-5084

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1587772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587772800000",
    "number": "1316567795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1104 W SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322440",
            "telephone_number": "662-394-5084",
            "fax_number": "662-262-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 W SUNFLOWER RD",
            "city": "CLEVELAND",
            "state": "MS",
            "postal_code": "387322440",
            "telephone_number": "662-394-5084",
            "fax_number": "662-262-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GYZELE'S HAIR BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-25",
        "last_updated": "2020-04-25",
        "certification_date": "2020-04-25",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "GYZELE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "662-394-5084"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "(662)262-5995",
            "affiliation": "N",
            "endpointDescription": "Fax Number",
            "address_1": "1104 W Sunflower Rd",
            "city": "Cleveland",
            "state": "MS",
            "country_code": "US",
            "postal_code": "387322440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Prosthetic/Orthotic Supplier in Cleveland, MS
• Providers in Cleveland, MS by specialty
• Prosthetic/Orthotic Supplier in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.