Healthcare Provider Details

I. General information

NPI: 1447406996
Provider Name (Legal Business Name): AUDIOLOGY EXPERTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 04/10/2020
Certification Date: 04/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1261 W. GREEN OAKS BLVD STE 105
ARLINGTON TX
76013-8301
US

IV. Provider business mailing address

1261 W. GREEN OAKS BLVD STE 105
ARLINGTON TX
76013-8301
US

V. Phone/Fax

Practice location:
  • Phone: 817-451-4818
  • Fax: 817-451-4828
Mailing address:
  • Phone: 817-451-4818
  • Fax: 817-451-4828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51301
License Number StateTX

VIII. Authorized Official

Name: DR. LISA BRINSON FELL
Title or Position: AUDIOLOGIST
Credential: AUD
Phone: 817-451-4818