Wagner and Woman Inc.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

717685 Issued in TX

Legal business name

WAGNER AND WOMAN INC.

Doing business as

J Michael's Salon

Practice address

101 S Coit Rd
Suite 125
Richardson, TX 75080-5743

Phone

(214) 340-8566

Fax

(972) 918-0244

NPI assigned

Aug 26, 2010

Last updated

Aug 26, 2010By 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

Mrs. Dianna Lynn Wagner, COSMETOLOGY

Title

President

Phone

(214) 340-8566

Specialties & licenses 1

Addresses

Other names 1

• J Michael's Salon Doing business as

Locations

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

{
    "created_epoch": "1282780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282780800000",
    "number": "1407162670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S COIT RD",
            "address_2": "SUITE 125",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743",
            "telephone_number": "214-340-8566",
            "fax_number": "972-918-0244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S COIT RD",
            "address_2": "SUITE 125",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805743",
            "telephone_number": "214-340-8566",
            "fax_number": "972-918-0244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAGNER AND WOMAN INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-26",
        "last_updated": "2010-08-26",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "214-340-8566",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COSMETOLOGY"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "717685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "J Michael's Salon",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Richardson, TX
• Providers in Richardson, 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 Aug 26, 2010; 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.