Individual
MERIDEN OVERALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
501 PRECINCT LINE RD, HURST, TX 76053-5417
(817) 399-2733
Mailing address
1438 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6419
(682) 477-4063
(682) 477-4000
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
81812
TX
237600000X
Audiologist-Hearing Aid Fitter
81812
TX
Other
Enumeration date
12/17/2025
Last updated
03/31/2026
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