NPI | 1073034997 |
---|---|
Entity Type | Organization |
Authorized Contact | BRANDY JACOBSON Owner 281-256-8215 |
Organization Subpart ? | No |
Primary Taxonomy | 231H00000X Audiologist (Licence: TX 51426) |
Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 51426) |
Enumeration Date | 2017-06-30 |
Last Update Date | 2022-07-21 |