Organization Active NPI

Minks Glamour Studio

  • Durable Medical Equipment & Medical Supplies
  • Fort Worth, TX
National Provider Identifier
1639929532
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MINKS GLAMOUR STUDIO
Practice address
5260 S Hulen St
Fort Worth, TX 76132-1912
Phone
(817) 908-2740
NPI assigned
Mar 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Authorized official

Name
Miesha KeatonNPI 1497505390
Title
Owner
Phone
(817) 908-2740

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
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5260 S Hulen St
Fort Worth, TX 76132-1912

Mailing address

9008 Old Clydesdale Dr
Fort Worth, TX 76123-3546
Phone (817) 908-2740

National Provider Directory

National Provider Directory

Locations

5260 S Hulen St
Fort Worth, TX 76132
Phone (817) 908-2740

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": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1639929532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9008 OLD CLYDESDALE DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761233546",
            "telephone_number": "817-908-2740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5260 S HULEN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761321912",
            "telephone_number": "817-908-2740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINKS GLAMOUR STUDIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "KEATON",
        "authorized_official_first_name": "MIESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-908-2740"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.