Provider Demographics
NPI:1346652591
Name:TURNBULL-HARDT, DAVID DOUGLAS
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:DOUGLAS
Last Name:TURNBULL-HARDT
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5475 HIGHWAY 105
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77708-3800
Mailing Address - Country:US
Mailing Address - Phone:409-892-8840
Mailing Address - Fax:409-892-2633
Practice Address - Street 1:5475 HIGHWAY 105
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77708-3800
Practice Address - Country:US
Practice Address - Phone:409-892-8840
Practice Address - Fax:409-892-2633
Is Sole Proprietor?:No
Enumeration Date:2014-05-22
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80527237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80527OtherCOMMITTE OF EXAMINERS IN THE FITTING & DISPENSING OF HEARING INSTRUMENTS