Organization
AUDIOLOGY PROVIDERS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE WEBB HOLDEN AU.D., CCC-A (DOCTOR OF AUDIOLOGY)
(214) 705-9994
Entity
Organization
Contact information
Practice address
7589 PRESTON RD, SUITE 300, FRISCO, TX 75034-5667
(214) 705-9994
(214) 705-9996
Mailing address
7000 PARKWOOD BLVD STE G100, FRISCO, TX 75034-7621
(214) 705-9994
(214) 705-9996
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB120084
MEDICARE GROUP PTAN
TX
01
—
TXB120085
MEDICARE INDIVIDUAL PTAN
TX
Enumeration date
10/18/2010
Last updated
11/13/2017
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