Healthcare Provider Details
I. General information
NPI: 1033363650
Provider Name (Legal Business Name): TOTAL HEARING CARE OF DALLAS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/10/2008
Last Update Date: 11/10/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4130 ABRAMS RD
DALLAS TX
75214-2607
US
IV. Provider business mailing address
4130 ABRAMS RD
DALLAS TX
75214-2607
US
V. Phone/Fax
- Phone: 214-827-1900
- Fax: 214-821-8106
- Phone: 214-827-1900
- Fax: 214-821-8106
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 231H00000X |
| Taxonomy | Audiologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
DEBBIE
F
SCHIRICO
Title or Position: OWNER
Credential: MCD,CCC-A
Phone: 214-827-1900