1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Prosthetic Orthotic Supplier
  6. NPI Profile

EXTRAVAGANT HAIR STUDIO
NPI 1407303605
Prosthetic/Orthotic Supplier in Houston, TX

Active since September 06, 2016
12810 MILLS BREEZE DR, HOUSTON, TX 77070(216) 323-9969 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Extravagant Hair Studio NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EXTRAVAGANT HAIR STUDIO (NPI 1407303605) is a healthcare organization registered as a prosthetic/orthotic supplier in Houston, Texas and active in the NPI registry since September 2016. The organization lists Bennetta Joyce Reynolds, Hair Prosthesis Specialist, as its authorized official.

NPPES Registry Identity

NPI1407303605
Entity TypeOrganization
Primary Taxonomy335E00000X
Legal Business NameEXTRAVAGANT HAIR STUDIO
Location Address12810 MILLS BREEZE DRHouston, TX 77070-1381
Mailing Address12810 Mills Breeze DrHouston, TX 77070-1381 · (216) 323-9969
Phone(216) 323-9969
Organization SubpartNo
Authorized OfficialBennetta Joyce ReynoldsHair Prosthesis Specialist · (216) 323-9969
Enumeration DateSeptember 6, 2016
✔ NPI 1407303605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
License✔ Licensed in TX · 1420593
Definition
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.
12810 MILLS BREEZE DR, Houston, TX 77070
Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Extravagant Hair Studio's NPI number?

The NPI number for Extravagant Hair Studio is 1407303605. It was assigned to this organization in the NPPES registry on September 6, 2016.

Where is Extravagant Hair Studio located?

Extravagant Hair Studio is located at 12810 Mills Breeze Dr, Houston, TX 77070. The listed phone number is (216) 323-9969.

What is Extravagant Hair Studio's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Extravagant Hair Studio was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.