# HEARD IT THROUGH THE GRAPEVINE AUDIOLOGY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Grapevine Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891815759
- **Authorized official:** DR. TARA L WHEELER AU.D. (AUDIOLOGIST)
- **Authorized official phone:** (817) 488-1637

## Contact information

- **Practice address:** 190 S PEYTONVILLE AVE STE 120, SOUTHLAKE, TX 76092-6937
- **Practice address phone:** (817) 488-1637
- **Practice address fax:** (817) 488-2854
- **Mailing address:** 190 S PEYTONVILLE AVE STE 120, SOUTHLAKE, TX 76092-6937
- **Mailing address phone:** (817) 488-1637
- **Mailing address fax:** (817) 488-2854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 51647 | TX | Yes |

## Other

- **Enumeration date:** 04/01/2007
- **Last updated:** 04/08/2020