NPI Registry.org

Queen Melanin Extensions

NPI Registration Record

Provider / OrganizationNPIDate Certified
QUEEN MELANIN EXTENSIONS17703600592023-09-11

The organization Queen Melanin Extensions is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1770360059. Registration indicates Queen Melanin Extensions is a provider of services with a specialization in Suppliers, Prosthetic/Orthotic Supplier (Prosthetic/Orthotic Supplier, ) (Pharmacy/DME, ) (Prosthetic/Orthotic Supplier, Suppliers)

Entity TypeOrganization
Provider OrganizationQUEEN MELANIN EXTENSIONS
Practice Office Address8330 N SAM HOUSTON PKWY E APT 9202
HUMBLE, TX US
Practice Office Telephone2816202830
Mailing Address8330 N SAM HOUSTON PKWY E APT 9202
HUMBLE, TX 773963399 US
Business Telephone2816202830
Authorized OfficialAIREAL BLACKBURN, OWNER
2816202830
HPT Codes
CodePractice
License No
State
335E00000X PRIMARY
Suppliers
Prosthetic/Orthotic Supplier
Prosthetic/Orthotic Supplier

Pharmacy/DME

Prosthetic/Orthotic Supplier
Suppliers
OPI Codes
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