Mimi'S Wig Boutique

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MIMI'S WIG BOUTIQUE

Practice address

7522 Campbell Rd Ste 112
Dallas, TX 75248-1726

Phone

(972) 380-5306

NPI assigned

Sep 16, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Richard Dean Vincent

Title

President

Phone

(972) 392-9968

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831295575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13626 PEYTON DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752405524",
            "telephone_number": "972-392-9968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7522 CAMPBELL RD STE 112",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481726",
            "telephone_number": "972-380-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIMI'S WIG BOUTIQUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-392-9968",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Avian Jeanette Milton, PHARMD.
• George Brian Milton, LPC
• Kaylie Milton, PT, DPT
• James S Milvenan, MD
• Mimi'S Wig Boutique
• Amanda Mims, MSN, AGNP-C
• Edward Mims, MD
• Linda Marie Mims, LPC
• Douglas Min, M.D.
• Erin Yaerin Min

• Prosthetic/Orthotic Supplier in Dallas, TX
• Providers in Dallas, 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 Aug 22, 2020; 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.