Provider Demographics
NPI:1023511888
Name:BINA, ALIREZA JR (DOCTOR OF AUDIOLOGY)
Entity type:Individual
Prefix:
First Name:ALIREZA
Middle Name:
Last Name:BINA
Suffix:JR
Gender:M
Credentials:DOCTOR OF AUDIOLOGY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5200 MEADOWCREEK DR APT 1082
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-4051
Mailing Address - Country:US
Mailing Address - Phone:214-507-1917
Mailing Address - Fax:
Practice Address - Street 1:1708 COIT RD STE 235
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75075-5042
Practice Address - Country:US
Practice Address - Phone:214-507-1917
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-16
Last Update Date:2018-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80992231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist