LADY IN PINK MASTECTOMY BOUTIQUE – NPI #1124391040
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

LADY IN PINK MASTECTOMY BOUTIQUE is a DME Supplier located in CORPUS CHRISTI, TX. NPPES has assigned the NPI number 1124391040 to LADY IN PINK MASTECTOMY BOUTIQUE on February 23, 2012. 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 LADY IN PINK MASTECTOMY BOUTIQUE below.

NPI Profile for
LADY IN PINK MASTECTOMY BOUTIQUE

NPI Number
1124391040
Enumeration Date

(more than 14 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
LADY IN PINK MASTECTOMY BOUTIQUE
Primary location
1241 NILE DRIVE
CORPUS CHRISTI, TX 78412
Phone: (361) 334-3476 Fax: (361) 334-3461
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
SHARON MAGILL
OFFICE MANAGER/BILLER
Phone: (361) 334-3476
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)

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.