| NPI | 1144536806 |
|---|---|
| Former Legal Business Name | ANDERSON AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | RENAE FOWLER Practice Manager 817-282-8402 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 50913) |
| Additional Taxonomies | 231HA2400X Audiologist Assistive Technology Practitioner (Licence: TX 50913) |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 50913) | |
| 237700000X Hearing Instrument Specialist (Licence: TX 50913) | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2012-04-25 |