Crown Lux Wigs

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

CROWN LUX WIGS

Practice address

16630 Imperial Valley Dr
Houston, TX 77060-3409

Phone

(713) 377-8087

Fax

(713) 583-1671

NPI assigned

Aug 14, 2020

Organization subpart

No

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

Authorized official

Name

Genevieve Dickerson

Title

Owner

Phone

(713) 377-8087

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597363200000",
    "number": "1467063271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16630 IMPERIAL VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603409",
            "telephone_number": "713-377-8087",
            "fax_number": "713-583-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16630 IMPERIAL VALLEY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770603409",
            "telephone_number": "713-377-8087",
            "fax_number": "713-583-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROWN LUX WIGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A",
        "authorized_official_last_name": "DICKERSON",
        "authorized_official_first_name": "GENEVIEVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-377-8087"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "7135831671",
            "affiliation": "N",
            "endpointDescription": "Fax #",
            "address_1": "16630 Imperial Valley Dr",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770603409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Crown Clinical Labs LLC
• Crown Clinical Labs LLC
• Crown Diagnostics, LLC
• Crown Dialysis Clinic, LLC.
• Crown EMS Inc
• Crown Medical Supply LLC
• Crown Medical Supply, LLC
• Crown Scrubs & Med Supply
• Crown Support EMS Inc.
• Crowne Family Care Inc

• Prosthetic/Orthotic Supplier in Houston, TX
• Providers in Houston, 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 14, 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.