Healthcare Provider Details

I. General information

NPI: 1710108337
Provider Name (Legal Business Name): HEARING AID EXPRESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 07/08/2020
Certification Date: 07/08/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

803 E 15TH ST
PLANO TX
75074-5805
US

IV. Provider business mailing address

900 8TH ST STE 725
WICHITA FALLS TX
76301-6808
US

V. Phone/Fax

Practice location:
  • Phone: 972-881-4327
  • Fax: 972-633-2887
Mailing address:
  • Phone: 940-228-4870
  • Fax: 940-228-4763

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DUSTIN POTTER
Title or Position: OWNER
Credential:
Phone: 940-228-4870