Provider Demographics
NPI:1679950927
Name:SET-A-PART HAIR STUDIO
Entity Type:Organization
Organization Name:SET-A-PART HAIR STUDIO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LULA
Authorized Official - Middle Name:
Authorized Official - Last Name:GATLING
Authorized Official - Suffix:
Authorized Official - Credentials:HAIR LOSS SPECIALIST
Authorized Official - Phone:210-573-7671
Mailing Address - Street 1:6806 W MILITARY DR
Mailing Address - Street 2:#106
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78227-3613
Mailing Address - Country:US
Mailing Address - Phone:210-573-7671
Mailing Address - Fax:
Practice Address - Street 1:6806 W MILITARY DR
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78227-3613
Practice Address - Country:US
Practice Address - Phone:210-573-7671
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-06
Last Update Date:2015-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty