EVOLUTION HAIR CARE,LLC

OKLAHOMA CITY, OK
NPI1851847297
Entity TypeOrganization
Authorized ContactSHIRON JANEAN BULLOCK
Hair Loss Specialist
405-501-6402
Organization Subpart ?No
Primary Taxonomy335E00000X Prosthetic/Orthotic Supplier
(Licence: OK  94711)
Additional Taxonomies251B00000X Case Management
(Licence: OK  94711)
302F00000X Exclusive Provider Organization
(Licence: OK  94711)
305R00000X Preferred Provider Organization
(Licence: OK  94711)
305S00000X Point of Service
(Licence: OK  94711)
332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment
(Licence: OK  94711)
Enumeration Date2016-08-26
Last Update Date2016-08-26
Business Address
EVOLUTION HAIR CARE,LLC
11102 STRATFORD DR STE B200
OKLAHOMA CITY, OK 73120-7263
Phone number: 405-501-6402
Mailing Address
EVOLUTION HAIR CARE,LLC
12429 PITTSBURGH AVE
OKLAHOMA CITY, OK 73120-6000
Phone number: 405-501-6402