Provider Demographics
NPI:1487034575
Name:BEAU TAGGART ENGLAND, LLC
Entity Type:Organization
Organization Name:BEAU TAGGART ENGLAND, LLC
Other - Org Name:LONE MOUNTAIN AUDIOLOGY & HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BEAU
Authorized Official - Middle Name:T
Authorized Official - Last Name:ENGLAND
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:702-362-3138
Mailing Address - Street 1:10470 W CHEYENNE AVE STE 120
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-8733
Mailing Address - Country:US
Mailing Address - Phone:702-240-2059
Mailing Address - Fax:702-240-2065
Practice Address - Street 1:10470 W CHEYENNE AVE STE 120
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-8733
Practice Address - Country:US
Practice Address - Phone:702-240-2059
Practice Address - Fax:702-240-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty
No332S00000XSuppliersHearing Aid EquipmentGroup - Single Specialty