MEDICARE: SONUS-TEXAS, INC.

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0047ES	OTHER	TX	GROUP ID NUMBER

General Provider Information

NPI Number	:	1982651162
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SONUS-TEXAS, INC.

Provider Business Mailing Address
First Line	:	5000 CHESHIRE LN N
Second Line	:
City	:	PLYMOUTH
State	:	MN
Zip	:	55446-3706
Country	:	US
Telephone Number	:	888-333-9152
Fax Number	:	763-268-4240

Provider Business Practice Location Address
First Line	:	5800 CAMP BOWIE BLVD
Second Line	:	SUITE 126
City	:	FORT WORTH
State	:	TX
Zip	:	76107-5057
Country	:	US
Telephone Number	:	817-870-2500
Fax Number	:	817-870-1382

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	PAUL D'AMICO
Credential	:
Telephone Number	:	888-333-9152

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	12/20/2007

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Directions to “SONUS-TEXAS, INC. ” Practice Location

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