Provider Demographics
NPI:1326635533
Name:AUDIOLOGY HEARING AID CENTER LLC
Entity Type:Organization
Organization Name:AUDIOLOGY HEARING AID CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HEARING AID DISPENSER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOE
Authorized Official - Middle Name:
Authorized Official - Last Name:MORALES
Authorized Official - Suffix:
Authorized Official - Credentials:BC-HIS
Authorized Official - Phone:214-244-1915
Mailing Address - Street 1:3109 DOUGLAS AVE APT 139
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75219-3549
Mailing Address - Country:US
Mailing Address - Phone:214-244-1915
Mailing Address - Fax:
Practice Address - Street 1:350 WESTPARK WAY STE 221
Practice Address - Street 2:
Practice Address - City:EULESS
Practice Address - State:TX
Practice Address - Zip Code:76040-3740
Practice Address - Country:US
Practice Address - Phone:469-661-3200
Practice Address - Fax:469-649-9600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-22
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2355A2700XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistAudiology AssistantGroup - Single Specialty