Provider Demographics
NPI:1750049953
Name:EIGHTY LUXE HAIR STUDIOS LLC
Entity Type:Organization
Organization Name:EIGHTY LUXE HAIR STUDIOS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHARANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-973-6314
Mailing Address - Street 1:4433 PUNJAB WAY STE 402
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-6747
Mailing Address - Country:US
Mailing Address - Phone:214-973-6314
Mailing Address - Fax:
Practice Address - Street 1:4433 PUNJAB WAY STE 402
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-6747
Practice Address - Country:US
Practice Address - Phone:214-973-6314
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-04
Last Update Date:2022-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty
No335E00000XSuppliersProsthetic/Orthotic SupplierGroup - Single Specialty