| NPI | 1801177233 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAIKAI SHAKITA BUTLER Owner 469-438-3918 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter (Licence: TX 80201) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 80201) |
| 332S00000X Hearing Aid Equipment (Licence: TX 80201) | |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2017-08-01 |