Healthcare Provider Details

I. General information

NPI: 1154451797
Provider Name (Legal Business Name): KOS DANCHAK AUDIOLOGY AND HEARING AIDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2007
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 W RANDOL MILL RD SUITE 100
ARLINGTON TX
76011-4637
US

IV. Provider business mailing address

101 W RANDOL MILL RD SUITE 100
ARLINGTON TX
76011-4637
US

V. Phone/Fax

Practice location:
  • Phone: 817-277-7039
  • Fax: 817-801-3231
Mailing address:
  • Phone: 817-277-7039
  • Fax: 817-801-3231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number51223
License Number StateTX

VIII. Authorized Official

Name: MELISSA DANCHAK
Title or Position: PRESIDENT
Credential: AU.D.
Phone: 817-277-7039