CROWN LUX WIGS (NPI# 1467063271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467063271 |
| Entity Type | Organization |
| Organization Name | CROWN LUX WIGS |
| Practice Address |
16630 Imperial Valley Dr Houston TX 77060-3409 |
| Practice Telephone | 7133778087 |
| Practice Fax Number | 7135831671 |
| Mailing Telephone | 7133778087 |
| Mailing Fax Number | 7135831671 |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2020-08-14 |
| Authorized Official Name | GENEVIEVE DICKERSON (OWNER) |
| Authorized Official Telephone | 7133778087 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | Suppliers |
| Street Address |
16630 IMPERIAL VALLEY DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77060-3409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154351377 | David A Jolivet | Neuromusculoskeletal Medicine & OMM | 16630 Imperial Valley Dr, # 115, Houston, TX 77060-3409 | 2006-07-04 |
| 1093266686 | U.S. Healthworks Medical Group of Texas, Inc. | Preventive Medicine | 16630 Imperial Valley Dr, Suite 115, Houston, TX 77060-3409 | 2016-10-18 |
| 1386031367 | Bayou City Family Nurse Practice Health and Wellness | Clinic/Center | 16630 Imperial Valley Dr, Suite 101, Houston, TX 77060-3409 | 2015-04-17 |
| 1598099574 | Eileen Peters Franklin | Counselor | 16630 Imperial Valley Dr, Suite 134, Houston, TX 77060-3409 | 2009-09-24 |
| 1710918750 | Majoe C Olfindo | Physical Therapist | 16630 Imperial Valley Dr, Suite 115, Houston, TX 77060-3409 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942822762 | Salvations Hospice | Hospice Care, Community Based | 215 W. Alabama Street, Suite 102, Houston, TX 77060 | 2020-05-14 |
| 1639790124 | Simone Warner | Case Manager/Care Coordinator | 350 Belway 8, Houston, TX 77060 | 2020-05-06 |
| 1124664685 | Leah Haynes | Technician | 514 Connorval Ln, Houston, TX 77060 | 2019-11-20 |
| 1932680576 | Jacky Thai | Physical Therapy Assistant | 11120 North Fwy, Houston, TX 77060 | 2018-08-22 |
| 1881174852 | Wesley Healthcare, LLC | Hospice Care, Community Based | 650 Sam Houston Pkwy E. Suite 210, Houston, TX 77060 | 2018-08-18 |
| 1184133506 | Rising Transportation | Non-emergency Medical Transport (VAN) | 519 N. Sam Houston Pkwy East, Ste. 450-o, Houston, TX 77060 | 2017-09-28 |
| 1205356524 | Savoy-nicholas Outreach Services, Inc. | Community/Behavioral Health | 525 N. Sam Houston Parkway E. Suite 416, Houston, TX 77060 | 2017-06-27 |
| 1942736533 | Pediatric Home Healthcare | Home Health | 363 N Sam Houston Pkwy E Ste 340, Houston, TX 77060 | 2017-05-03 |
| 1669857686 | Carlos Eduardo Garcia | Speech-Language Pathologist | 12941 North Freeway Ste. 401, Houston, TX 77060 | 2015-07-21 |
| 1982084208 | Texas Family Hospice and Palliative Care | Hospice Care, Community Based | 426 Alvin Bender, Ste C, Houston, TX 77060 | 2015-06-02 |
| Find all providers in zip 77060 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917423 | Leggett Prosthetics LLC | Prosthetic/Orthotic Supplier | 1019 Homer St, Houston, TX 77091 | 2020-03-13 |
| 1396301644 | Freedom Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 17115 Red Oak Dr Ste 114, Houston, TX 77090-2607 | 2019-05-13 |
| 1043747231 | Hands of Transformation Hair Loss Clinic | Prosthetic/Orthotic Supplier | 11980 Westheimer Rd Ste G, Houston, TX 77077-6670 | 2017-05-18 |
| 1407303605 | Extravagant Hair Studio | Prosthetic/Orthotic Supplier | 12810 Mills Breeze Dr, Houston, TX 77070-1381 | 2016-09-06 |
| 1346604527 | Bmp Bracing LLC | Prosthetic/Orthotic Supplier | 3615 Willowbend Blvd Ste 428, Houston, TX 77054-1110 | 2016-04-13 |
| 1427416544 | Inmotion Prosthetics Houston LLC | Prosthetic/Orthotic Supplier | 7324 Southwest Fwy Ste 2-885, Houston, TX 77074-2012 | 2016-02-03 |
| 1639597792 | Cranial Technologies Inc. | Prosthetic/Orthotic Supplier | 929 Gessner Rd Ste 2205, Houston, TX 77024-2664 | 2014-04-04 |
| 1558798512 | Tiffani Chanels Beauty Supply, LLC | Prosthetic/Orthotic Supplier | 2578 S Loop W, Houston, TX 77054-2634 | 2013-10-03 |
| 1538430251 | F D Prasek Corporation | Prosthetic/Orthotic Supplier | 6420 Richmond Ave Ste 107, Houston, TX 77057-5923 | 2012-01-26 |
| 1649562539 | Advanced Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 11011 S Wilcrest Dr Ste D, Houston, TX 77099-4346 | 2011-05-10 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.