Organization Active NPI

Hair Loss Management Center of Houston

  • Customized Equipment (DME)
  • Houston, TX
National Provider Identifier
1639925696
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
Legal business name
HAIR LOSS MANAGEMENT CENTER OF HOUSTON
Practice address
13100 Wortham Center Dr FL 3
Houston, TX 77065-5625
Phone
(310) 505-7444
NPI assigned
Apr 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Authorized official

Name
Kynessa Patrice McCrayNPI 1073369104
Title
Owner
Phone
(310) 505-7444

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X Primary

Addresses

Primary practice location

13100 Wortham Center Dr FL 3
Houston, TX 77065-5625

Mailing address

11403 Barker Cypress Rd Ste J
Cypress, TX 77433-5398
Phone (310) 505-7444

Other identifiers 1

IdentifierTypeStateIssuer
1073369104MedicaidTX

National Provider Directory

National Provider Directory

Locations

11403 Barker Cypress Rd
Ste J
Cypress, TX 77433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1639925696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11403 BARKER CYPRESS RD STE J",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335398",
            "telephone_number": "310-505-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 WORTHAM CENTER DR FL 3",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655625",
            "telephone_number": "310-505-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAIR LOSS MANAGEMENT CENTER OF HOUSTON",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "MCCRAY",
        "authorized_official_first_name": "KYNESSA",
        "authorized_official_middle_name": "PATRICE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-505-7444"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073369104",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; 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.