Provider Demographics
NPI:1639975527
Name:TDBI HAIR REPLACEMENT SOLUTIONS
Entity type:Organization
Organization Name:TDBI HAIR REPLACEMENT SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CRANIAL PROSTHETICS SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:
Authorized Official - Last Name:SIMMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-720-3812
Mailing Address - Street 1:4200 HARRIS AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89110-2224
Mailing Address - Country:US
Mailing Address - Phone:702-720-3812
Mailing Address - Fax:
Practice Address - Street 1:8174 LAS VEGAS BLVD S STE 101
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89123-1030
Practice Address - Country:US
Practice Address - Phone:702-720-3812
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1744P3200XOther Service ProvidersSpecialistProsthetics Case ManagementGroup - Single Specialty