# PROFESSIONAL HEARING SERVICES OF TEXAS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902466295
- **Authorized official:** DR. KELLY PACK AUD (OWNER)
- **Authorized official phone:** (903) 792-3986

## Contact information

- **Practice address:** 2011 MALL DR STE 4, TEXARKANA, TX 75503-2550
- **Practice address phone:** (903) 792-3986
- **Practice address fax:** (903) 792-3935
- **Mailing address:** 2011 MALL DR STE 4, TEXARKANA, TX 75503-2550
- **Mailing address phone:** (903) 792-3986
- **Mailing address fax:** (903) 792-3935

## Taxonomy

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

## Other

- **Enumeration date:** 06/18/2019
- **Last updated:** 06/18/2019