Provider Demographics
NPI:1164551479
Name:HAIR2WEAR, LLC
Entity Type:Organization
Organization Name:HAIR2WEAR, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TOMEKA
Authorized Official - Middle Name:DIANNE
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-823-0130
Mailing Address - Street 1:11624 WILLOW WAY
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73162-2046
Mailing Address - Country:US
Mailing Address - Phone:866-823-0130
Mailing Address - Fax:405-720-1231
Practice Address - Street 1:11624 WILLOW WAY
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73162-2046
Practice Address - Country:US
Practice Address - Phone:866-823-0130
Practice Address - Fax:405-720-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier