Provider Demographics
NPI:1609071117
Name:AUDIOLOGY UNLIMITED, INC.
Entity Type:Organization
Organization Name:AUDIOLOGY UNLIMITED, INC.
Other - Org Name:HEARJOY LIFESTYLE HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ERIC
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:888-432-7569
Mailing Address - Street 1:1710 COUNTRY CLUB DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-2621
Mailing Address - Country:US
Mailing Address - Phone:888-432-7569
Mailing Address - Fax:
Practice Address - Street 1:1710 COUNTRY CLUB DR
Practice Address - Street 2:SUITE 102
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-2621
Practice Address - Country:US
Practice Address - Phone:888-432-7569
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50661231HA2400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231HA2400XSpeech, Language and Hearing Service ProvidersAudiologistAssistive Technology PractitionerGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX80207AMedicare ID - Type Unspecified