| NPI | 1023437662 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY JOHNSON Owner 903-482-4018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80077) |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80077) |
| Enumeration Date | 2014-04-10 |
| Last Update Date | 2024-04-03 |