Provider Demographics
NPI:1790041705
Name:BETTER HEARING ASSOCIATES
Entity Type:Organization
Organization Name:BETTER HEARING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:580-745-5171
Mailing Address - Street 1:2828 W UNIVERSITY BLVD
Mailing Address - Street 2:SUITE 114
Mailing Address - City:DURANT
Mailing Address - State:OK
Mailing Address - Zip Code:74701-3090
Mailing Address - Country:US
Mailing Address - Phone:580-745-5171
Mailing Address - Fax:580-745-5173
Practice Address - Street 1:2828 W UNIVERSITY BLVD
Practice Address - Street 2:SUITE 114
Practice Address - City:DURANT
Practice Address - State:OK
Practice Address - Zip Code:74701-3090
Practice Address - Country:US
Practice Address - Phone:580-745-5171
Practice Address - Fax:580-745-5173
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-03
Last Update Date:2014-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80077237600000X
TX80264237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty