Provider Demographics
NPI:1245735562
Name:HAIR RESTORATION CENTRE AND MEDI SPA
Entity Type:Organization
Organization Name:HAIR RESTORATION CENTRE AND MEDI SPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSALIND
Authorized Official - Middle Name:ROSHELLE
Authorized Official - Last Name:MCGAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-292-0134
Mailing Address - Street 1:5959 WEST LOOP S STE 110
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-2420
Mailing Address - Country:US
Mailing Address - Phone:832-581-2484
Mailing Address - Fax:888-352-2932
Practice Address - Street 1:5959 WEST LOOP S STE 110
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-2420
Practice Address - Country:US
Practice Address - Phone:832-581-2484
Practice Address - Fax:888-352-2932
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-28
Last Update Date:2018-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment