MEDICARE: BROOKS 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
1	231H00000X	Audiologist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1770026379
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BROOKS HEARING,LLC

Provider Business Mailing Address
First Line	:	3130 LAMAR AVE
Second Line	:
City	:	PARIS
State	:	TX
Zip	:	75460-5020
Country	:	US
Telephone Number	:	903-737-8800
Fax Number	:	903-784-8429

Provider Business Practice Location Address
First Line	:	1001 E AUSTIN ST
Second Line	:
City	:	PARIS
State	:	TX
Zip	:	75460-7483
Country	:	US
Telephone Number	:	903-737-8800
Fax Number	:

Authorized Official
Title or Position	:	INSURANCE COORDINATOR
Name	:	SALLY COSTON
Credential	:
Telephone Number	:	903-737-8800

Provider Enumeration Date	:	11/30/2016
Last Update Date	:	11/30/2016

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Directions to “BROOKS HEARING,LLC ” Practice Location

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