Organization Active NPI

Hair Specialty Supply

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1366625790
Registry record updated Jul 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
1011437 Issued in TX
Legal business name
HAIR SPECIALTY SUPPLY
Practice address
5707 Cibolo Canyon Blvd
1617
San Antonio, TX 78261-2773
Phone
(210) 367-3800
NPI assigned
Dec 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2008

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

Authorized official

Name
Miss Lela Z Hamilton
Title
Owner
Phone
(210) 367-3800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1011437 TX Primary

Addresses

Primary practice location

5707 Cibolo Canyon Blvd
1617
San Antonio, TX 78261-2773

Mailing address

5707 Cibolo Canyon Blvd
1617
San Antonio, TX 78261-2773
Phone (210) 367-3800

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215129600000",
    "number": "1366625790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 CIBOLO CANYON BLVD",
            "address_2": "1617",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612773",
            "telephone_number": "210-367-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 CIBOLO CANYON BLVD",
            "address_2": "1617",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782612773",
            "telephone_number": "210-367-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR SPECIALTY SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2008-07-04",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "LELA",
        "authorized_official_middle_name": "Z",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-367-3800",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "1011437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; 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.