1780805465 NPI number — HEARING AID EXPRESS, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1780805465 NPI number — HEARING AID EXPRESS, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEARING AID EXPRESS, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1780805465
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/08/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
900 8TH ST STE 725
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
WICHITA FALLS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76301-6808
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
940-228-4870
Provider Business Mailing Address Fax Number:
940-228-4763

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3330 N GALLOWAY AVE
Provider Second Line Business Practice Location Address:
#322
Provider Business Practice Location Address City Name:
MESQUITE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75150-4728
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-270-4441
Provider Business Practice Location Address Fax Number:
942-270-2076
Provider Enumeration Date:
05/01/2007

Additional Information

Authorized Official

Authorized Official Last Name:
POTTER
Authorized Official First Name:
DUSTIN
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
940-228-4870

Provider Taxonomy Codes

  • Taxonomy code: 237600000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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