Provider Demographics
NPI:1255083820
Name:MONIKA J SALON LLC
Entity type:Organization
Organization Name:MONIKA J SALON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HAIR LOSS PRACTIONER
Authorized Official - Prefix:
Authorized Official - First Name:MONIKA
Authorized Official - Middle Name:
Authorized Official - Last Name:PARHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:833-666-4525
Mailing Address - Street 1:1100 MEREDITH LN APT 1123
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-4672
Mailing Address - Country:US
Mailing Address - Phone:773-331-5575
Mailing Address - Fax:469-310-8992
Practice Address - Street 1:2015 MIDWAY RD STE 7
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4953
Practice Address - Country:US
Practice Address - Phone:833-666-4525
Practice Address - Fax:469-310-8992
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONIKA J SALON LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-01-25
Last Update Date:2022-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies