Healthcare Provider Details

I. General information

NPI: 1043219082
Provider Name (Legal Business Name): ARLINGTON AUDIOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2005
Last Update Date: 03/05/2020
Certification Date: 03/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3132 MATLOCK RD SUITE 303
ARLINGTON TX
76015-2910
US

IV. Provider business mailing address

3132 MATLOCK RD SUITE 303
ARLINGTON TX
76015-2910
US

V. Phone/Fax

Practice location:
  • Phone: 817-472-7720
  • Fax: 817-417-7280
Mailing address:
  • Phone: 817-472-7720
  • Fax: 817-417-7280

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: KELLIE SARAH LORENSEN
Title or Position: OFFICE MANAGER
Credential:
Phone: 817-472-7720