MEDICARE: ADRIATICA AUDIOLOGY AND HEARING CENTERS 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
1	237600000X	Audiologist-Hearing Aid Fitter	80571	TX

General Provider Information

NPI Number	:	1578993796
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ADRIATICA AUDIOLOGY AND HEARING CENTERS LLC

Provider Business Mailing Address
First Line	:	1727 HAMMOND DR
Second Line	:
City	:	EMPORIA
State	:	KS
Zip	:	66801-5312
Country	:	US
Telephone Number	:	620-481-4677
Fax Number	:

Provider Business Practice Location Address
First Line	:	6991 MEDITERRANEAN DR
Second Line	:
City	:	MCKINNEY
State	:	TX
Zip	:	75070-5536
Country	:	US
Telephone Number	:	972-542-8900
Fax Number	:	972-542-8944

Authorized Official
Title or Position	:	DR. OF AUDIOLOGY
Name	:	DR. BARY EARL WILLIAMS
Credential	:	AUD
Telephone Number	:	620-481-4677

Provider Enumeration Date	:	11/25/2013
Last Update Date	:	11/25/2013

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