Healthcare Provider Details

I. General information

NPI: 1164543161
Provider Name (Legal Business Name): AUDIOLOGY RESOURCES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

530 W FAULKNER ST
EL DORADO AR
71730-4519
US

IV. Provider business mailing address

530 W FAULKNER ST
EL DORADO AR
71730-4519
US

V. Phone/Fax

Practice location:
  • Phone: 870-862-5339
  • Fax: 870-862-7571
Mailing address:
  • Phone: 870-862-5339
  • Fax: 870-862-7571

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number42
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number229
License Number StateAR

VIII. Authorized Official

Name: JAMES V DAVIDSON
Title or Position: AUDIOLOGIST
Credential: M.A.,CCC-A
Phone: 870-862-5339