Myiahs Mane Factory

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MYIAHS MANE FACTORY

Practice address

4410 Secretariat Dr
Killeen, TX 76549-4299

Phone

(816) 888-0091

Fax

(254) 246-7992

NPI assigned

Jan 21, 2021

Last updated

Jan 21, 2021By 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. Jiamyiah Gilmore

Title

Owner

Phone

(816) 888-0091

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1457941536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 SECRETARIAT DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494299",
            "telephone_number": "816-888-0091",
            "fax_number": "254-246-7992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 SECRETARIAT DR",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765494299",
            "telephone_number": "816-888-0091",
            "fax_number": "254-246-7992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYIAHS MANE FACTORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "GILMORE",
        "authorized_official_first_name": "JIAMYIAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "816-888-0091",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Zacharye Mustafa, PT, DPT
• Muszynski Dental, PLLC (Elm Ridge Implants & Family Dentistry)
• Jeff Muszynski, DDS
• Michael Mwasumbi, CRNA
• My Personal Angel Home Healthcare LLC
• Jessica Nadeau
• Sunil Sumant Naik, STUDENT
• Adithya Nair
• Bharat Nandgaonkar, M.D.
• Maureen Nanyonga, NURSE PRACTITIONER

• Customized Equipment (DME) in Killeen, TX
• Providers in Killeen, TX by specialty
• Customized Equipment (DME) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.