Provider Demographics
NPI:1811484595
Name:STARWOOD AUDIOLOGY AND HEARING AIDS
Entity type:Organization
Organization Name:STARWOOD AUDIOLOGY AND HEARING AIDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWENER
Authorized Official - Prefix:
Authorized Official - First Name:ALIREZA
Authorized Official - Middle Name:
Authorized Official - Last Name:BINA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:214-507-1917
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-18
Last Update Date:2018-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech