MEDICARE: DOCTORS HEARING CENTER LLC XXXII

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	207Q00000X	Family Medicine Physician
2	207Y00000X	Otolaryngology Physician

General Provider Information

NPI Number	:	1588734610
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTORS HEARING CENTER LLC XXXII

Provider Business Mailing Address
First Line	:	2227 WEST MAIN STREET
Second Line	:
City	:	JACKSONVILLE
State	:	AR
Zip	:	72076
Country	:	US
Telephone Number	:	501-985-9944
Fax Number	:	501-985-6590

Provider Business Practice Location Address
First Line	:	8028 CAPTAIN DILLON COURT
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71115-4606
Country	:	US
Telephone Number	:	318-797-5602
Fax Number	:	318-797-5600

Authorized Official
Title or Position	:	PARTNER OFFICER
Name	:	MR. RONALD F DAVIS
Credential	:
Telephone Number	:	501-985-9944

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	09/11/2025

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