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Organization

FONNER HEARING AID CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JULIE FONNER BC, NBC-HIS, ACA, (PROVIDER)
(817) 277-8121
Entity
Organization

Contact information

Practice address
315 E RANDOL MILL RD, ARLINGTON, TX 76011-5838
(817) 277-8121
(817) 284-3253
Mailing address
315 E RANDOL MILL RD, ARLINGTON, TX 76011-5838
(817) 277-8121
(817) 284-3253

Taxonomy

Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
50358
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50358
LICENSE NUMBER
TX
Enumeration date
09/28/2009
Last updated
09/28/2009
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