Healthcare Provider Details

I. General information

NPI: 1740402056
Provider Name (Legal Business Name): HEARING AID EXPRESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5201 BELLAIRE BLVD.
BELLAIRE TX
77401-3906
US

IV. Provider business mailing address

900 8TH ST STE 725
WICHITA FALLS TX
76301-6808
US

V. Phone/Fax

Practice location:
  • Phone: 713-666-1704
  • Fax: 713-666-1184
Mailing address:
  • Phone: 940-228-4870
  • Fax: 940-228-4763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: MR. DUSTIN POTTER
Title or Position: OWNER
Credential:
Phone: 940-228-4870