| NPI | 1740686575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY LYNN CARROLL Administrator 254-227-5189 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237700000X Hearing Instrument Specialist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2018-07-11 |