Healthcare Provider Details

I. General information

NPI: 1316348162
Provider Name (Legal Business Name): CRAWFORD HEARING AID CENTER, L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2014
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

904 PENNSYLVANIA AVE
FT WORTH TX
76104-2225
US

IV. Provider business mailing address

904 PENNSYLVANIA AVE
FT WORTH TX
76104-2225
US

V. Phone/Fax

Practice location:
  • Phone: 817-332-8817
  • Fax: 817-332-8827
Mailing address:
  • Phone: 817-332-8817
  • Fax: 817-332-8827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number50949
License Number StateTX

VIII. Authorized Official

Name: MRS. DEBRA NEMEC CRAWFORD
Title or Position: OWNER/AUDIOLOGIST
Credential: M.A.-CCC-A
Phone: 817-332-8817