Healthcare Provider Details

I. General information

NPI: 1578738860
Provider Name (Legal Business Name): HEARING CARE BY DR. DAVID HOUGH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2008
Last Update Date: 04/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 NW 164TH ST SUITE 2
EDMOND OK
73013-1058
US

IV. Provider business mailing address

941 NW 164TH ST SUITE 2
EDMOND OK
73013-1058
US

V. Phone/Fax

Practice location:
  • Phone: 405-513-6465
  • Fax:
Mailing address:
  • Phone: 405-513-6465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number166
License Number StateOK

VIII. Authorized Official

Name: DR. DAVID HOUGH
Title or Position: OWNER/MANAGER
Credential: PHD
Phone: 405-513-6465