Provider Demographics
NPI:1073787362
Name:FOX, CASEY (AUD)
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:FOX
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:CASEY
Other - Middle Name:
Other - Last Name:CROW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AUD
Mailing Address - Street 1:2021 N. MACARTHUR BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75061-2210
Mailing Address - Country:US
Mailing Address - Phone:972-253-4280
Mailing Address - Fax:972-253-4254
Practice Address - Street 1:2021 N. MACARTHUR BLVD
Practice Address - Street 2:STE 150
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75061-2210
Practice Address - Country:US
Practice Address - Phone:972-253-4280
Practice Address - Fax:972-253-4254
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2014-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80279231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist