Active NPI
Hi Fashion Boutique
- Prosthetic/Orthotic Supplier
- San Antonio, TX
National Provider Identifier
1598777831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 691-021
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 691-021 | Other | TX | TEXAS COSMETOLOGY |
Other names 1
- Hi Fashion Wigs Boutique
National Provider Directory
National Provider DirectoryLocations
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.