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: August 16, 2026.

About Phats Extension Bar & Makeup Studio Llc NPPES

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

PHATS EXTENSION BAR & MAKEUP STUDIO LLC (NPI 1457926164), doing business as Phats Extension Bar, is a healthcare organization registered as a customized equipment in Tyler, Texas and active in the NPI registry since May 2021. The organization lists Kimberly Denise Shead, Hair Loss Practtitioner/owner, as its authorized official.

NPPES Registry Identity

NPI1457926164
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NamePHATS EXTENSION BAR & MAKEUP STUDIO LLC
Location Address1950 N NORTHWEST LOOP 323Tyler, TX 75702-1626
Mailing Address1950 N Northwest Loop 323Tyler, TX 75702-1626 · (903) 747-8060
Fax(903) 747-8060
Organization SubpartNo
Authorized OfficialKimberly Denise SheadHair Loss Practtitioner/owner · (903) 722-0734
Enumeration DateMay 25, 2021
NPPES CertifiedMay 25, 2021
NPI 1457926164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

1950 N NORTHWEST LOOP 323, Tyler, TX 75702

Other Names 1

Former Legal Business NamePhats Extension Bar

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 Phats Extension Bar & Makeup Studio LLC's NPI number?

The NPI number for Phats Extension Bar & Makeup Studio LLC is 1457926164. It was assigned to this organization in the NPPES registry on May 25, 2021. The provider was formerly known as Phats Extension Bar.

Where is Phats Extension Bar & Makeup Studio LLC located?

Phats Extension Bar & Makeup Studio LLC is located at 1950 N Northwest Loop 323, Tyler, TX 75702. The listed phone number is (903) 747-8060.

What is Phats Extension Bar & Makeup Studio LLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies, specializing in Customized Equipment, with taxonomy code 332BC3200X.

When was this NPI record last updated?

The NPPES record for Phats Extension Bar & Makeup Studio LLC was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.