| NPI | 1477805794 |
|---|---|
| Doing Business As | MIRACLE EAR |
| Entity Type | Organization |
| Authorized Contact | KENNY LYNN CARROLL Cash Desk 254-227-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 11149) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2023-06-21 |