Manifest Wigs LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

MANIFEST WIGS LLC

Practice address

6464 E Sam Houston Pkwy N Apt 410
Houston, TX 77049-7269

Phone

(832) 800-4392

NPI assigned

Aug 2, 2022

Last updated

Aug 2, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Breanda Harris, RNNPI 1700513603

Title

Ceo

Phone

(832) 800-4392

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Breanda Harris, RN

  • Registered Nurse
  • Houston, TX
  • NPI 1700513603
  NPD Authorized official

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659398400000",
    "number": "1841927654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 E SAM HOUSTON PKWY N # 1052",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770492511",
            "telephone_number": "832-800-4392",
            "fax_number": "832-218-5555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6464 E SAM HOUSTON PKWY N APT 410",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770497269",
            "telephone_number": "832-800-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST WIGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-02",
        "certification_date": "2022-08-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "BREANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "832-800-4392",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ganesh Bala Maniam, MD
• Santhi B. Maniam, MD
• Prasad Manian, M.D.
• Sanjay Maniar, M.D.
• Reysa Manible
• Sai Prasada Rao Koti Surya Vara Manikonda
• Simone Noelle Corpuz Manio
• Mike Manis Jr.
• Robert L Maniscalco, MED, ATC, LAT
• Claudia Manisck, DDS

• Prosthetic/Orthotic Supplier in Houston, TX
• Providers in Houston, 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 2, 2022; 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.