Provider Demographics
NPI:1043714678
Name:BUNDLES LUXURY HAIR CO.
Entity Type:Organization
Organization Name:BUNDLES LUXURY HAIR CO.
Other - Org Name:BUNDLES LUXURY HAIR CO. HAIR RESTORATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:HAIR RESTORATION SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:SHAUNTELE
Authorized Official - Middle Name:
Authorized Official - Last Name:HARVEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:810-275-2185
Mailing Address - Street 1:4000 SIGMA RD APT 4206
Mailing Address - Street 2:
Mailing Address - City:FARMERS BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:75244-8119
Mailing Address - Country:US
Mailing Address - Phone:810-275-2185
Mailing Address - Fax:
Practice Address - Street 1:13740 MIDWAY RD STE 524
Practice Address - Street 2:
Practice Address - City:FARMERS BRANCH
Practice Address - State:TX
Practice Address - Zip Code:75244-4314
Practice Address - Country:US
Practice Address - Phone:972-286-3537
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty