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NPI Code Detail

MEDICARE: BIONIX HEARING, LLC

MEDICARE: BIONIX HEARING, LLC
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
1237700000XHearing Instrument Specialist50644TX

General Provider Information

NPI Number : 1215475595
Entity Type Code : Organization
Provider Name (Legal Business Name) : BIONIX HEARING, LLC
Provider Business Mailing Address
First Line : 2217 NORTH TARRANT PKWY
Second Line : #211
City : FORT WORTH
State : TX
Zip : 76177-2220
Country : US
Telephone Number : 972-922-7456
Fax Number : 972-922-7104
Provider Business Practice Location Address
First Line : 2217 NORTH TARRANT PKWY
Second Line : #211
City : FORT WORTH
State : TX
Zip : 76177-2220
Country : US
Telephone Number : 972-922-7456
Fax Number : 972-922-7104
Authorized Official
Title or Position : OWNER
Name : MR. CARL EDWARDS
Credential : H.I.S.
Telephone Number : 972-922-7456
Provider Enumeration Date : 02/07/2017
Last Update Date : 08/21/2018

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Directions to “BIONIX HEARING, LLC ” Practice Location

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