| NPI | 1386928612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WEINTRAUB Audiologist 214-868-7708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: TX 80198) |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2011-10-17 |