Hair Sew Gorgeous
Prosthetic/Orthotic Supplier in Desoto, TX. Organization (NPI-2).
NPI number1164043444
StatusActive
Last updated in NPPESApr 28, 2020
Details
- NPI
- 1164043444
- Entity type
- Organization (NPI-2)
- Legal business name
- Hair Sew Gorgeous
- Organization subpart
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Apr 28, 2020
- Last updated
- Apr 28, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 335E00000X | Prosthetic/Orthotic Supplier | – | – | Yes |
Practice location
2021 N Hampton Rd Ste 160Desoto, TX 75115-8625
Phone 972-998-2202 · Fax 214-833-5627
Mailing address
104 E Ovilla Rd Unit 35Red Oak, TX 75154-9203
Phone 972-998-2202 · Fax 214-833-5627
Authorized official
Dondra Womack
Owner
9729982202
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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