Healthcare Provider Details

I. General information

NPI: 1013187343
Provider Name (Legal Business Name): HEARING QUEST, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/03/2008
Last Update Date: 03/08/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5421 LA SIERRA DR
DALLAS TX
75231-4107
US

IV. Provider business mailing address

5421 LA SIERRA DR
DALLAS TX
75231-4107
US

V. Phone/Fax

Practice location:
  • Phone: 214-361-1443
  • Fax: 214-368-8365
Mailing address:
  • Phone: 214-361-1443
  • Fax: 214-368-8365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DAWN REEVES
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 214-361-1443