Healthcare Provider Details

I. General information

NPI: 1982617031
Provider Name (Legal Business Name): AUDIO RECOVERY INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 NW 56TH ST SUITE G-1
OKLAHOMA CITY OK
73112-4463
US

IV. Provider business mailing address

3400 NW 56TH ST SUITE G-1
OKLAHOMA CITY OK
73112-4463
US

V. Phone/Fax

Practice location:
  • Phone: 405-949-1906
  • Fax: 405-945-7189
Mailing address:
  • Phone: 405-949-1906
  • Fax: 405-945-7189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number013342
License Number StateOK

VIII. Authorized Official

Name: DR. DAVID A HOUGH
Title or Position: DIRECTOR OF AUDIOLOGY
Credential: PH.D.
Phone: 405-949-1906