Provider Demographics
NPI:1306036694
Name:BARBARA S WILPON
Entity Type:Organization
Organization Name:BARBARA S WILPON
Other - Org Name:LINGERIE COLLECTION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:S
Authorized Official - Last Name:WILPON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-691-3710
Mailing Address - Street 1:520 PRESTON ROYAL SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-7800
Mailing Address - Country:US
Mailing Address - Phone:214-691-3710
Mailing Address - Fax:972-234-2758
Practice Address - Street 1:520 PRESTON ROYAL SHOPPING CTR
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-7800
Practice Address - Country:US
Practice Address - Phone:214-691-3710
Practice Address - Fax:972-234-2758
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-01
Last Update Date:2008-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0926400001Medicare NSC