Organization
K J GORMAN, LLC
Active
Other names
Audibel Hearing Aid Centers
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHY JEAN GORMAN AUD CCC A (MANAGING MEMBER)
(214) 948-3273
Entity
Organization
Contact information
Practice address
267 WYNNEWOOD VILLAGE, DALLAS, TX 75224
(214) 948-3273
(214) 942-4114
Mailing address
267 WYNNEWOOD VILLAGE, DALLAS, TX 75224
(214) 948-3273
(214) 942-4114
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
51598
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0090MX
BLUE CROSS OF TEXAS GROUP
TX
05
—
180691101
—
TX
01
—
80405A
INDIVIDUAL NUMBER
TX
Enumeration date
04/27/2007
Last updated
11/15/2011
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