Healthcare Provider Details

I. General information

NPI: 1912746421
Provider Name (Legal Business Name): BRITTANI ALLYN JOINER AU.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/23/2024
Last Update Date: 10/03/2024
Certification Date: 10/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 INWOOD RD
DALLAS TX
75390-4281
US

IV. Provider business mailing address

655 PROMENADE PKWY APT 4080
IRVING TX
75039
US

V. Phone/Fax

Practice location:
  • Phone: 214-645-8300
  • Fax:
Mailing address:
  • Phone: 469-682-9772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number81617
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: