Provider Demographics
NPI:1972515302
Name:COLLIN COUNTY HEARING AID DISPENSARY
Entity Type:Organization
Organization Name:COLLIN COUNTY HEARING AID DISPENSARY
Other - Org Name:PLANO ENT
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EWEN
Authorized Official - Middle Name:Y
Authorized Official - Last Name:TSENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-596-4005
Mailing Address - Street 1:8380 WARREN PKWY
Mailing Address - Street 2:SUITE 504
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75034-4062
Mailing Address - Country:US
Mailing Address - Phone:214-618-6155
Mailing Address - Fax:214-618-6154
Practice Address - Street 1:8380 WARREN PKWY
Practice Address - Street 2:SUITE 504
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75034-4062
Practice Address - Country:US
Practice Address - Phone:214-618-6155
Practice Address - Fax:214-618-6154
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-13
Last Update Date:2013-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment