Organization · Type 2 NPI

Phats Extension Bar & Makeup Studio LLC

Customized Equipment (DME) · Tyler, TX

NPI number 1457926164 Active

Practice location

1950 N Northwest Loop 323
Tyler, TX 75702-1626

Fax (903) 747-8060

Specialties and licenses

TaxonomyCodeLicense
Customized Equipment (DME) Primary 332BC3200XNone listed

Customized Equipment (DME): Definition to come...

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About NPI 1457926164

Phats Extension Bar & Makeup Studio LLC's National Provider Identifier is 1457926164, issued on May 25, 2021. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Tyler, TX. The record was last updated on May 25, 2021.