Organization
MIRACLE EAR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY HARPER (CONSULTANT)
(972) 459-2320
Entity
Organization
Contact information
Practice address
420 E FM 3040 STE 113, LEWISVILLE, TX 75067-8386
(971) 459-2370
Mailing address
420 E FM 3040 STE 113, LEWISVILLE, TX 75067-8386
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
80442
TX
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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