MEDICARE: GARLAND HEARING AID CENTER, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332S00000X	Hearing Aid Equipment	90033	TX
2	231H00000X	Audiologist	50441	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386644664
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GARLAND HEARING AID CENTER, INC.

Provider Business Mailing Address
First Line	:	2645 ARAPAHO RD STE 121
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-7942
Country	:	US
Telephone Number	:	972-270-6731
Fax Number	:	972-613-2852

Provider Business Practice Location Address
First Line	:	2645 ARAPAHO RD STE 121
Second Line	:
City	:	GARLAND
State	:	TX
Zip	:	75044-7942
Country	:	US
Telephone Number	:	972-270-6731
Fax Number	:	972-613-2852

Authorized Official
Title or Position	:	OWNER AND PRESIDENT
Name	:	DR. ANNE S. CALVERT
Credential	:	PH.D.
Telephone Number	:	972-270-6731

Provider Enumeration Date	:	07/28/2005
Last Update Date	:	12/23/2008

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