Provider Demographics
NPI:1720621568
Name:AUNNY SYBLE HAIRDRESSING LLC
Entity type:Organization
Organization Name:AUNNY SYBLE HAIRDRESSING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TRENTON
Authorized Official - Middle Name:
Authorized Official - Last Name:DEBTH
Authorized Official - Suffix:
Authorized Official - Credentials:COSMETOLOGIST
Authorized Official - Phone:972-342-5891
Mailing Address - Street 1:4313 LINLEY LN
Mailing Address - Street 2:
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76244-6352
Mailing Address - Country:US
Mailing Address - Phone:817-502-9777
Mailing Address - Fax:
Practice Address - Street 1:8901 TEHAMA RIDGE PKWY STE 123
Practice Address - Street 2:
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-2032
Practice Address - Country:US
Practice Address - Phone:817-502-9777
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-24
Last Update Date:2019-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment