| NPI | 1003358136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BLAKE SUMMERS Hearing Aid Provider 469-547-5821 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: CO 0000321) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |