5TH AVENUE GROOMING LOUNGE – NPI #1023543048
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.

Health Care Provider Taxonomy Code for Prosthetic/Orthotic Supplier

5TH AVENUE GROOMING LOUNGE is a DME Supplier located in ARLINGTON, TX. NPPES has assigned the NPI number 1023543048 to 5TH AVENUE GROOMING LOUNGE on April 27, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 335E00000X from the Health Care Provider Taxonomy code set, which is classified as Prosthetic/Orthotic Supplier.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for 5TH AVENUE GROOMING LOUNGE below.

NPI Profile for
5TH AVENUE GROOMING LOUNGE

NPI Number
1023543048
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
5TH AVENUE GROOMING LOUNGE
Primary location
1201 N WATSON RD.
SUITE 283
ARLINGTON, TX 76116
Phone: (817) 899-3054 Fax:
Mailing address
1201 N WATSON RD
STE 283
ARLINGTON, TX 76006-6190
Phone: (817) 899-3054 Fax:
Organization Subpart
No
Authorized Official
MAREESHIA WILKINS
OWNER
Phone: (817) 899-3054
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
335E00000X
- Prosthetic/Orthotic Supplier (Primary)		 TX 226797

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.