Survivor Gals Specialty Products and Salon LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC

Doing business as

Survivor Gals Specialty Products Fort Worth

Practice address

1400 8TH Ave Ste 100-a
Fort Worth, TX 76104-4110

Phone

(817) 924-8800

Fax

(817) 924-5500

NPI assigned

Feb 3, 2011

Last updated

Sep 13, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

SURVIVOR GALS SPECIALTY PRODUCTSAND SALON LLCAs reported in NPPES

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

Authorized official

Name

Jennifer Grunwald

Title

Owner

Phone

(972) 599-7677

Specialties & licenses 1

Addresses

Other names 1

• Survivor Gals Specialty Products Fort Worth Doing business as

Part of

Survivor Gals Specialty Products and Salon LLC

Locations

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315872000000",
    "number": "1669778916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 CUSTER RD STE 190",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750752082",
            "telephone_number": "972-599-7677",
            "fax_number": "972-599-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 8TH AVE STE 100-A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044110",
            "telephone_number": "817-924-8800",
            "fax_number": "817-924-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURVIVOR GALS SPECIALTY PRODUCTS AND SALON LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURVIVOR GALS SPECIALTY PRODUCTSAND SALON LLC",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-09-13",
        "status": "A",
        "authorized_official_last_name": "GRUNWALD",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-599-7677"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Survivor Gals Specialty Products Fort Worth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Vidya Sri Suri, DDS
• Elizabeth Surita-Khuat, M.A., CCC-SLP
• Blaire Surley, OTR, CBIS
• Jeremy Lee Surratt
• Sajid Ali Surve, DO
• Susan Arnold Lange, Psychologist, LPPC
• Susan K Linder MD PA
• Susan R. Bailey, M.D.P.a.
• Susan Roberts Pediatric Dentistry PLLC
• Susan Roberts, DDS, Ms

• Prosthetic/Orthotic Supplier in Fort Worth, TX
• Providers in Fort Worth, 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 Sep 13, 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.