| NPI | 1235641671 |
|---|---|
| Former Legal Business Name | NORTH TEXAS TINNITUS ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | TYSHA MOANA POWELL Audiologist/ Owner 404-484-6305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: TX 80517) |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2018-06-16 |