Provider Demographics
NPI:1508400672
Name:HAIR TODAY GONE TOMORROW ELECTROLYSIS, LLC
Entity Type:Organization
Organization Name:HAIR TODAY GONE TOMORROW ELECTROLYSIS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SARA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:682-593-1442
Mailing Address - Street 1:4245 N CENTRAL EXPY STE 450
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-4530
Mailing Address - Country:US
Mailing Address - Phone:682-593-1442
Mailing Address - Fax:
Practice Address - Street 1:4245 N CENTRAL EXPY STE 450
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75205-4530
Practice Address - Country:US
Practice Address - Phone:682-593-1442
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-01
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, OtherGroup - Single Specialty