Provider Demographics
NPI:1497535579
Name:VIP CUTZ, STYLEZ & HAIR LOSS SOLUTIONS
Entity Type:Organization
Organization Name:VIP CUTZ, STYLEZ & HAIR LOSS SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:VIRGINIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:190-134-0170
Mailing Address - Street 1:518 WOODLAND VIEW DR
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:AR
Mailing Address - Zip Code:72364-2834
Mailing Address - Country:US
Mailing Address - Phone:901-340-1700
Mailing Address - Fax:
Practice Address - Street 1:111 S 5TH ST STE 1
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-4363
Practice Address - Country:US
Practice Address - Phone:901-340-1700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-04
Last Update Date:2023-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies