Provider Demographics
NPI:1962675033
Name:ABBA WIGS AND ALL CRANIAL NEEDS
Entity Type:Organization
Organization Name:ABBA WIGS AND ALL CRANIAL NEEDS
Other - Org Name:ARACELI FRANCO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ARACELI
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCO
Authorized Official - Suffix:
Authorized Official - Credentials:LICENSED COSMETOLOGI
Authorized Official - Phone:512-293-8508
Mailing Address - Street 1:1509 OLD WEST 38TH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-6328
Mailing Address - Country:US
Mailing Address - Phone:512-293-8508
Mailing Address - Fax:
Practice Address - Street 1:1509 OLD WEST 38TH ST STE 2
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-6328
Practice Address - Country:US
Practice Address - Phone:512-293-8508
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-09
Last Update Date:2008-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies