Organization
CZOP INC
Active
Other names
dba Avada Audiology & Hearing Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MARK CZOP (REGIONAL DIRECTOR)
(903) 595-1811
Entity
Organization
Contact information
Practice address
844 S. FLEISHEL AVE., TYLER, TX 75701-2042
(903) 595-1811
(903) 595-2809
Mailing address
844 S. FLEISHEL AVE., TYLER, TX 75701-2042
(903) 595-1811
(903) 595-2809
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50630
TX
237700000X
Hearing Instrument Specialist
50636
TX
237700000X
Hearing Instrument Specialist
50653
TX
237700000X
Hearing Instrument Specialist
50685
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0085ME
BCBS FACILITY NUMBER
TX
05
—
022136801
—
TX
01
—
516539
BCBS PROVIDER NUMBER
TX
Enumeration date
08/09/2006
Last updated
07/31/2012
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