OrganizationActive
Fantasy Hair & Braids
NPI 1235839424 · Prosthetic/Orthotic Supplier · Haltom City, TX
Provider details
- NPI number
- 1235839424
- Entity type
- Organization
- Primary specialty
- Prosthetic/Orthotic SupplierSuppliers
- Organization subpart
- No
- Authorized official
- Jesula Longchamp, Manager(214) 853-1950
Specialties & taxonomies
Suppliers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5208 Airport Fwy Ste 170
Haltom City, TX 76117-5922
Phone: (214) 853-1950
Street-level locationGet directions
Mailing address
705 Chickasaw Trce
Grand Prairie, TX 75051-2916
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-03-06
- Certified
- 2023-03-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.