Healthcare Provider Details

I. General information

NPI: 1184770166
Provider Name (Legal Business Name): HARRIS HEARING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 HARRISON ST SUITE C
BATESVILLE AR
72501-7442
US

IV. Provider business mailing address

2000 HARRISON ST SUITE C
BATESVILLE AR
72501-7442
US

V. Phone/Fax

Practice location:
  • Phone: 870-793-6244
  • Fax: 870-793-5884
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License NumberA#205
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License NumberA#205
License Number StateAR

VIII. Authorized Official

Name: DR. JOHN DAVID HARRIS
Title or Position: DOCTOR OF AUDIOLOGY AND OWNER
Credential: AU.D.
Phone: 870-793-6244