| NPI | 1760129605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DANIELLE TATE Owner 361-649-5559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist |
| Additional Taxonomies | 237600000X Audiologist-Hearing Aid Fitter |
| 332S00000X Hearing Aid Equipment | |
| Enumeration Date | 2022-05-12 |
| Last Update Date | 2025-11-20 |