Provider Demographics
NPI:1184807455
Name:SHARP HEARING NETWORK LLC
Entity type:Organization
Organization Name:SHARP HEARING NETWORK LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARP
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:972-612-0943
Mailing Address - Street 1:4012 W PARK BLVD
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-3839
Mailing Address - Country:US
Mailing Address - Phone:972-612-0943
Mailing Address - Fax:972-612-4865
Practice Address - Street 1:4012 W PARK BLVD
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-3839
Practice Address - Country:US
Practice Address - Phone:972-612-0943
Practice Address - Fax:972-612-4865
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-10
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX202941501Medicaid