Provider Demographics
NPI:1407677479
Name:BE NATURALS BEAUTY SUPPLY
Entity type:Organization
Organization Name:BE NATURALS BEAUTY SUPPLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:AUTHORIZED OFFICIAL/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TANARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CALDWELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-462-5767
Mailing Address - Street 1:940 W ROUND GROVE RD APT 612
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067-7944
Mailing Address - Country:US
Mailing Address - Phone:214-462-5767
Mailing Address - Fax:
Practice Address - Street 1:2145 N JOSEY LN STE 204
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-2960
Practice Address - Country:US
Practice Address - Phone:214-462-5767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-22
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier