Provider Demographics
NPI:1821852815
Name:TAM'S NATURAL BEAUTY SALON
Entity Type:Organization
Organization Name:TAM'S NATURAL BEAUTY SALON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMARIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:PROSISE
Authorized Official - Suffix:
Authorized Official - Credentials:CMF
Authorized Official - Phone:479-755-5790
Mailing Address - Street 1:5311 S 28TH ST STE C
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72901-8772
Mailing Address - Country:US
Mailing Address - Phone:479-226-3087
Mailing Address - Fax:
Practice Address - Street 1:5311 S 28TH ST STE C
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72901-8772
Practice Address - Country:US
Practice Address - Phone:479-226-3087
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-09
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier