Provider Demographics
NPI:1386644664
Name:GARLAND HEARING AID CENTER, INC.
Entity Type:Organization
Organization Name:GARLAND HEARING AID CENTER, INC.
Other - Org Name:CALVERT HEARING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:S
Authorized Official - Last Name:CALVERT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:972-270-6731
Mailing Address - Street 1:2645 ARAPAHO RD STE 121
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75044-7942
Mailing Address - Country:US
Mailing Address - Phone:972-270-6731
Mailing Address - Fax:972-613-2852
Practice Address - Street 1:2645 ARAPAHO RD STE 121
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75044-7942
Practice Address - Country:US
Practice Address - Phone:972-270-6731
Practice Address - Fax:972-613-2852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-28
Last Update Date:2008-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50441231H00000X
TX90033332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022406501Medicaid
TX022406501Medicaid
TXR70467Medicare UPIN