Provider Demographics
NPI:1326360421
Name:HADGRO, INC.
Entity Type:Organization
Organization Name:HADGRO, INC.
Other - Org Name:HADGROLACEHAIRNET
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:GLENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:HADLEY
Authorized Official - Suffix:
Authorized Official - Credentials:COSMETOLOGIST
Authorized Official - Phone:469-363-1286
Mailing Address - Street 1:PO BOX 152377
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-8377
Mailing Address - Country:US
Mailing Address - Phone:469-363-1286
Mailing Address - Fax:214-221-3840
Practice Address - Street 1:714 SKILLMAN ST
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-4630
Practice Address - Country:US
Practice Address - Phone:469-363-1286
Practice Address - Fax:214-221-3840
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HADGRO, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-02-17
Last Update Date:2010-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies