OrganizationActive
Lady in Pink Mastectomy Boutique
NPI 1124391040 · Prosthetic/Orthotic Supplier · Corpus Christi, TX
Provider details
- NPI number
- 1124391040
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Sharon Magill, Office Manager/Biller(361) 334-3476
Specialties & taxonomies
Suppliers
Practice location
1241 Nile Drive
Corpus Christi, TX 78412
Phone: (361) 334-3476
Fax: (361) 334-3461
Approximate (ZIP-level) locationGet directions
Mailing address
1241 Nile Drive
Corpus Christi, TX 78412
Registry dates
- Enumerated
- 2012-02-23
- Last updated
- 2012-02-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.