NPI 1003383233
Bombeauty Supply and Salon
Practice location
- Address
- 3010 Lake Shore Dr Unit a, Indianapolis, IN 46205
- Phone
- (817) 721-5008
- Mailing address
- 8421 Weeping Cherry Lane, Ft Worth, TX 76140
Authorised official
- Name
- Andrea Scott
- Title
- Owner
- Phone
- (317) 523-6475
Registered specialties (3)
Durable Medical Equipment & Medical Supplies
Primary
Customized Equipment (DME)
Prosthetic/Orthotic Supplier
Registry record
- NPI
- 1003383233
- Entity type
- Organization
- NPI issued
- 25 Oct 2018
- Record last updated
- 25 Oct 2018
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.