5TH AVENUE GROOMING LOUNGE (NPI# 1023543048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023543048 |
| Entity Type | Organization |
| Organization Name | 5TH AVENUE GROOMING LOUNGE |
| Practice Address |
1201 N Watson Rd. Suite 283 Arlington TX 76116 |
| Mailing Address |
1201 N Watson Rd Ste 283 Arlington TX 76006-6190 |
| Practice Telephone | 8178993054 |
| Mailing Telephone | 8178993054 |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |
| Authorized Official Name | MAREESHIA E WILKINS (OWNER) |
| Authorized Official Telephone | 8178993054 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 226797 | TX | Suppliers |
| Street Address |
1201 N WATSON RD. SUITE 283 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908980 | William Michael Marshall | Pharmacist | 8600 Camp Bowie Blvd, Forth Worth, TX 76116 | 2020-10-02 |
| 1558843599 | Donnisha Bunting | In Home Supportive Care | 2901 Broadmoor, 1115, Fort Worth, TX 76116 | 2018-09-06 |
| 1588156756 | Bilal Master | Student in an Organized Health Care Education/Training Program | 3309 Riveroad Court, 2515, Ft Worth, TX 76116 | 2018-06-04 |
| 1245769728 | Randall R Williams | Physical Therapist | 6913 Camp Bowie Blvd Suite 141, Fort Worth, TX 76116 | 2017-06-08 |
| 1831647734 | Frisco Neuro Collaborations, Pllc | Physician Assistant | 6387 Camp Bowie Blvd Ste B-640, Fort Worth, TX 76116 | 2016-09-20 |
| 1104288372 | Brown Mobile Dental Pa | Dentist | 8008 Camp Bowie W Blvd, Ste 101, Fort Worth, TX 76116 | 2016-03-25 |
| 1639553431 | Bartholomew A Akubukwe | Pharmacist | 6700 Westfree Way, Fortworth, TX 76116 | 2015-07-13 |
| 1952718868 | Brown Mobile Dental | Dentist | 8008 Camp Bowie Suite 101, Fort Worth, TX 76116 | 2014-07-14 |
| 1275949018 | Emily Sue Danner | Dentist | 6726 Camp Bowie Blvd., Fort Worth, TX 76116 | 2014-07-01 |
| 1841537495 | Rehab Care | Custodial Care Facility | 1700 Saxony Rd, Fort Worth, TX 76116 | 2013-01-15 |
| Find all providers in zip 76116 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | 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. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467953653 | Lone Star Prosthetics, LLC | Prosthetic/Orthotic Supplier | 2201 Brookhollow Plaza Dr Ste 350, Arlington, TX 76006-7443 | 2018-02-23 |
| 1154849149 | Certified Prosthetics & Orthotics - East | Prosthetic/Orthotic Supplier | 2445 Army Navy Dr Ste 305, Arlington, VA 22206-2905 | 2017-08-30 |
| 1487188900 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 631 Matlock Centre Cir, Arlington, TX 76015-2535 | 2017-04-12 |
| 1891232617 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015-2905 | 2017-01-31 |
| 1386090819 | Choice Prosthetics and Orthotics, LLC | Prosthetic/Orthotic Supplier | 2445 Army Navy Dr Ste 301, Arlington, VA 22206-2988 | 2016-05-13 |
| 1174827604 | Embrace Diabetes Footwear Solutions | Prosthetic/Orthotic Supplier | 982 N Cooper St, Arlington, TX 76011-5779 | 2010-12-23 |
| 1023027679 | Nordstrom Inc & Subsidiaries | Prosthetic/Orthotic Supplier | 1400 S Hayes St, Arlington, VA 22202-5003 | 2006-08-05 |
| 1255841482 | Prosthetic One | Prosthetic/Orthotic Supplier | 3125 Matlock Rd Ste 100, Arlington, TX 76015 | 2017-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627997 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 S. Clear Creek, Suite 110, Killeen, TX 76549-6685 | 2020-10-22 |
| 1962001123 | Tactical Rehabilitation Inc | Prosthetic/Orthotic Supplier | 2710 Clear Creek Rd Apt 110, Killeen, TX 76549-6685 | 2020-10-20 |
| 1871191643 | Cranial Technologies, Inc. | Prosthetic/Orthotic Supplier | 2020 W State Highway 114 Ste 360, Grapevine, TX 76051-8649 | 2020-10-14 |
| 1396351573 | Baker O & P Enterprises, Inc. | Prosthetic/Orthotic Supplier | 1104 West 34th St., Bldg. A, Austin, TX 78705-1910 | 2020-09-22 |
| 1184230815 | Lindas Signature Hair Studio Inc | Prosthetic/Orthotic Supplier | 9415 Broadway St Ste 201, Pearland, TX 77584-8094 | 2020-09-18 |
| 1538773106 | Memorial Prosthetics and Orthotics Inc | Prosthetic/Orthotic Supplier | 439 Mason Park Blvd Ste A1, Katy, TX 77450-4163 | 2020-09-01 |
| 1447861828 | Major Miracles Rx | Prosthetic/Orthotic Supplier | 1801 E 51st St Ste 362, Austin, TX 78723-3434 | 2020-08-11 |
| 1396355061 | Ameristep Prosthetics San Antonio | Prosthetic/Orthotic Supplier | 7271 Wurzbach Rd Ste 187, San Antonio, TX 78240-3800 | 2020-08-06 |
| 1043820327 | Ameristep Prosthetics Southwestern | Prosthetic/Orthotic Supplier | 5406 Harry Hines Blvd, Dallas, TX 75235-7211 | 2020-08-03 |
| 1083230502 | Amazing Wig Closet | Prosthetic/Orthotic Supplier | 409 W Front St Ste 100-306, Hutto, TX 78634-4204 | 2020-06-20 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.