Provider Demographics
NPI: | 1558584177 |
---|---|
Name: | HEARING & SPEECH CENTER, INC. |
Entity Type: | Organization |
Organization Name: | HEARING & SPEECH CENTER, INC. |
Other - Org Name: | HEARING & BALANCE CENTERS |
Other - Org Type: | Doing Business As |
Authorized Official - Title/Position: | AUDIOLOGIST |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | DAVID |
Authorized Official - Middle Name: | W |
Authorized Official - Last Name: | HOLMES |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | PHD |
Authorized Official - Phone: | 817-282-8402 |
Mailing Address - Street 1: | 1550 NORWOOD DR |
Mailing Address - Street 2: | SUITE 100 |
Mailing Address - City: | HURST |
Mailing Address - State: | TX |
Mailing Address - Zip Code: | 76054-3646 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 817-282-8402 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 857 KELLER PKWY |
Practice Address - Street 2: | |
Practice Address - City: | KELLER |
Practice Address - State: | TX |
Practice Address - Zip Code: | 76248-2406 |
Practice Address - Country: | US |
Practice Address - Phone: | 817-431-6467 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2007-04-11 |
Last Update Date: | 2020-08-22 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 237600000X | Speech, Language and Hearing Service Providers | Audiologist-Hearing Aid Fitter | Group - Single Specialty |