Healthcare Provider Details

I. General information

NPI: 1114247368
Provider Name (Legal Business Name): SYKOTIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2010
Last Update Date: 08/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13155 NOEL RD STE 900
DALLAS TX
75240-5090
US

IV. Provider business mailing address

2965 ROLLING HILLS LN
APOPKA FL
32712-6479
US

V. Phone/Fax

Practice location:
  • Phone: 972-918-5144
  • Fax: 972-918-5145
Mailing address:
  • Phone: 972-918-5144
  • Fax: 972-918-5145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: PEGGY I EARLY
Title or Position: PROVIDER/OWNER
Credential: NBCHIS
Phone: 972-918-5144