Healthcare Provider Details

I. General information

NPI: 1346314929
Provider Name (Legal Business Name): ANFREE INCORPORTED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 05/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

910 N DAVIS SUITE 300
ARLINGTON TX
76012
US

IV. Provider business mailing address

910 N DAVIS SUITE 300
ARLINGTON TX
76012
US

V. Phone/Fax

Practice location:
  • Phone: 817-461-8123
  • Fax: 817-795-1442
Mailing address:
  • Phone: 817-461-8123
  • Fax: 817-795-1442

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number50126
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code156FX1800X
TaxonomyOptician
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY L ANDERSON
Title or Position: OWNER PRESIDENT
Credential: CDO BCHIS
Phone: 817-461-8123