Organization Active NPI

Hi Fashion Boutique

  • Prosthetic/Orthotic Supplier
  • San Antonio, TX
National Provider Identifier
1598777831
Registry record updated Mar 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
691-021 Issued in TX
Legal business name
HI FASHION BOUTIQUE
Practice address
4522 Fredericksburg Rd
A35
San Antonio, TX 78201-6521
Phone
(210) 732-7070
NPI assigned
Aug 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2011

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

Authorized official

Name
Mrs. Maria Del Soccorro Wilson, OPERATOR, LICENSED
Title
Ceo/President/Owner
Phone
(210) 732-7070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 691-021 TX Primary

Addresses

Primary practice location

4522 Fredericksburg Rd
A35
San Antonio, TX 78201-6521

Mailing address

4522 Fredericksburg Rd
A35
San Antonio, TX 78201-6521
Phone (210) 732-7070

Other identifiers 1

IdentifierTypeStateIssuer
691-021OtherTXTEXAS COSMETOLOGY

Other names 1

  • Hi Fashion Wigs Boutique Former legal business name

National Provider Directory

National Provider Directory

Locations

4522 Fredericksburg Rd
#A35
San Antonio, TX 78201
Phone (210) 732-7070

NPI Registry JSON

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300579200000",
    "number": "1598777831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "A35",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "210-732-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4522 FREDERICKSBURG RD",
            "address_2": "A35",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782016521",
            "telephone_number": "210-732-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI FASHION BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2011-03-20",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "DEL SOCCORRO",
        "authorized_official_title_or_position": "CEO/PRESIDENT/OWNER",
        "authorized_official_telephone_number": "210-732-7070",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPERATOR, LICENSED"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "691-021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS COSMETOLOGY",
            "identifier": "691-021",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi Fashion Wigs Boutique",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Mar 20, 2011; 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.