PHATS EXTENSION BAR & MAKEUP STUDIO LLC
NPI 1457926164
Durable Medical Equipment & Medical Supplies - Customized Equipment in Tyler, TX

Active since May 25, 2021
1950 N NORTHWEST LOOP 323, TYLER, TX 75702(903) 747-8060(903) 747-8060 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Durable Medical Equipment & Medical Supp...
  • Customized Equipment

About PHATS EXTENSION BAR & MAKEUP STUDIO LLC

This page provides the complete NPI Profile along with additional information for Phats Extension Bar & Makeup Studio Llc, a provider established in Tyler, Texas operating as a Durable Medical Equipment & Medical Supplies, focusing in customized equipment . The healthcare provider is registered in the NPI registry with number 1457926164 assigned on May 2021. The practitioner's primary taxonomy code is 332BC3200X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Kimberly Denise Shead Hlp (Hair Loss Practtitioner/owner)

NPI
1457926164 Verify this NPI
Provider Name
PHATS EXTENSION BAR & MAKEUP STUDIO LLC
Entity Type
Organization
Location Address
1950 N NORTHWEST LOOP 323 TYLER, TX 75702
Location Phone
(903) 747-8060
Location Fax
(903) 747-8060
Mailing Address
1950 N NORTHWEST LOOP 323 TYLER, TX 75702
Mailing Phone
(903) 747-8060
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-25-2021
Last Update Date
05-25-2021
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Durable Medical Equipment & Medical Supplies Customized Equipment

Taxonomy Code
332BC3200X
Type
Suppliers

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY DENISE SHEAD HLP

Authorized Official Title
HAIR LOSS PRACTTITIONER/OWNER
Authorized Official Phone
(903) 722-0734

Reviews for PHATS EXTENSION BAR & MAKEUP STUDIO LLC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457926164, enumerated as an "organization" on May 25, 2021.

The provider is located at 1950 N NORTHWEST LOOP 323 TYLER, TX 75702 and the phone number is (903) 747-8060.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.