Organization
NORTH TEXAS DISPENSERS
Active
Other names
North Texas Dispensers
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOE B LARDIZABAL BC HIS ACA BOARD CER (OWNER HEARING AID SPECIALIST)
(940) 387-9574
Entity
Organization
Contact information
Practice address
1421 N ELM, #105, DENTON, TX 76201
(940) 387-9574
(940) 387-5502
Mailing address
1421 N ELM, #105, DENTON, TX 76201
(940) 387-9574
(940) 387-5502
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50053
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
519 070
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/09/2007
Last updated
08/19/2010
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