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NPI 1023543048

OrganizationActive

5th Avenue Grooming Lounge

NPI 1023543048 · Prosthetic/Orthotic Supplier · Arlington, TX

Provider details

NPI number: 1023543048
Entity type: Organization
Primary specialty: Prosthetic/Orthotic SupplierSuppliers
Authorized official: Mareeshia Wilkins, Owner
License: 226797 (TX)

Practice location

1201 N Watson Rd.

Suite 283

Arlington, TX 76116

Phone: (817) 899-3054

More TX providers

Mailing address

1201 N Watson Rd

Arlington, TX 76006-6190

Registry dates

Enumerated: 2017-04-27
Last updated: 2017-04-27

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

5th Avenue Grooming Lounge — NPI 1023543048, Arlington, TX | NPI Central