MEDICARE: MRS. BRITNEY MAXTON

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	237700000X	Hearing Instrument Specialist	11304	TX

General Provider Information

NPI Number	:	1528463551
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. BRITNEY MAXTON

Provider Business Mailing Address
First Line	:	3810 S COOPER ST
Second Line	:	SUITE 144
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4149
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3810 S COOPER ST
Second Line	:	SUITE 144
City	:	ARLINGTON
State	:	TX
Zip	:	76015-4149
Country	:	US
Telephone Number	:	817-466-4327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/04/2014
Last Update Date	:	04/26/2016

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