Organization
ECOUTEZ SOUTHLAKE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE PADDOCK AU.D. (AUDIOLOGIST)
(847) 770-0768
Entity
Organization
Contact information
Practice address
1438 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6419
(682) 477-4063
(682) 477-4000
Mailing address
1438 E SOUTHLAKE BLVD, SOUTHLAKE, TX 76092-6419
(682) 477-4063
(682) 477-4000
Taxonomy
Speciality
Code
Description
License number
State
231HA2500X
Assistive Technology Supplier Audiologist
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/28/2022
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