Provider Demographics
NPI:1508813536
Name:PEB ENTERPRISES INC
Entity Type:Organization
Organization Name:PEB ENTERPRISES INC
Other - Org Name:AMERICAN HEARING LABORATORIES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:R
Authorized Official - Last Name:BERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:940-321-1311
Mailing Address - Street 1:1017 E TRINITY MILLS RD
Mailing Address - Street 2:#120
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1438
Mailing Address - Country:US
Mailing Address - Phone:972-466-0528
Mailing Address - Fax:972-466-2345
Practice Address - Street 1:1017 EAST TRINITY MILLS RD
Practice Address - Street 2:#120
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1458
Practice Address - Country:US
Practice Address - Phone:972-466-0528
Practice Address - Fax:972-466-2345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-27
Last Update Date:2011-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXTXB109413Medicare PIN