# GOMER HEARING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gomer Hearing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1629423215
- **Authorized official:** REBECCA GOMER AUD (OWNER)
- **Authorized official phone:** (972) 803-8072

## Contact information

- **Practice address:** 4011 E RENNER RD STE 108, RICHARDSON, TX 75082-2917
- **Practice address phone:** (972) 803-8072
- **Practice address fax:** (214) 238-3806
- **Mailing address:** 4011 E RENNER RD STE 108, RICHARDSON, TX 75082-2917
- **Mailing address phone:** (972) 803-8072
- **Mailing address fax:** (214) 238-3806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 51350 | TX | Yes |

## Other

- **Enumeration date:** 05/02/2016
- **Last updated:** 03/05/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1427314772 | NPI | — |
| 01 | — | 342114ZSLS | MEDICARE PTAN | — |