MEDICARE: AUDIOLOGY RESOURCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	42	AR
2	237600000X	Audiologist-Hearing Aid Fitter	229	AR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	5F492	OTHER	AR	BCBS

General Provider Information

NPI Number	:	1164543161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AUDIOLOGY RESOURCES

Provider Business Mailing Address
First Line	:	530 W FAULKNER ST
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4519
Country	:	US
Telephone Number	:	870-862-5339
Fax Number	:	870-862-7571

Provider Business Practice Location Address
First Line	:	530 W FAULKNER ST
Second Line	:
City	:	EL DORADO
State	:	AR
Zip	:	71730-4519
Country	:	US
Telephone Number	:	870-862-5339
Fax Number	:	870-862-7571

Authorized Official
Title or Position	:	AUDIOLOGIST
Name	:	JAMES V DAVIDSON
Credential	:	M.A.,CCC-A
Telephone Number	:	870-862-5339

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	09/11/2025

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Directions to “AUDIOLOGY RESOURCES ” Practice Location

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