Provider Demographics
NPI:1669261574
Name:HAIROHOLIC LLC
Entity type:Organization
Organization Name:HAIROHOLIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WASCHNECK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:913-481-5653
Mailing Address - Street 1:20020 FM 1093 RD APT 1212
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:TX
Mailing Address - Zip Code:77407-3893
Mailing Address - Country:US
Mailing Address - Phone:913-218-8860
Mailing Address - Fax:
Practice Address - Street 1:8307 BEECHNUT ST STE B
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-6853
Practice Address - Country:US
Practice Address - Phone:913-481-5653
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-06
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier