Healthcare Provider Details

I. General information

NPI: 1326407792
Provider Name (Legal Business Name): COPLEY HEARING CENTER LLC DBA TOTAL HEARING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2016
Last Update Date: 02/15/2016
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

Practice location:
  • Phone: 214-827-1900
  • Fax: 214-821-8106
Mailing address:
  • Phone: 214-827-1900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number51258
License Number StateTX

VIII. Authorized Official

Name: DR. JILL ELIZABETH COPLEY
Title or Position: OWNER/AUDIOLOGIST
Credential: AUD
Phone: 512-657-6243