Provider Demographics
NPI:1447585260
Name:HEARING DOCTOR, PLC
Entity Type:Organization
Organization Name:HEARING DOCTOR, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRANDY
Authorized Official - Middle Name:D
Authorized Official - Last Name:VOWELL
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:918-779-7500
Mailing Address - Street 1:10115 S SHERIDAN RD STE A
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-6765
Mailing Address - Country:US
Mailing Address - Phone:918-779-7500
Mailing Address - Fax:918-995-2333
Practice Address - Street 1:10115 S SHERIDAN RD STE A
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-6765
Practice Address - Country:US
Practice Address - Phone:918-779-7500
Practice Address - Fax:918-995-2333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-13
Last Update Date:2011-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK298231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1740228113OtherINDIVIDUAL PHYSICIAN PROVIDER NPI