| NPI | 1942567128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNY LYNN CARROLL Administrator 254-537-4421 |
| Organization Subpart ? | No |
| Primary Taxonomy | 237600000X Audiologist-Hearing Aid Fitter |
| Additional Taxonomies | 237700000X Hearing Instrument Specialist |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2023-06-21 |