| NPI | 1598777831 |
|---|---|
| Former Legal Business Name | HI FASHION WIGS BOUTIQUE |
| Entity Type | Organization |
| Authorized Contact | MARIA DEL SOCCORRO WILSON CEO/President/Owner 210-732-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: TX 691-021) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2011-03-20 |