Organization
CARSON HEARING CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBIN CARSON AUD (AUDIOLOGIST)
(817) 737-4327
Entity
Organization
Contact information
Practice address
5104 CAMP BOWIE BLVD, FORT WORTH, TX 76107-4835
(817) 737-4327
Mailing address
5104 CAMP BOWIE BLVD, FORT WORTH, TX 76107-4835
(817) 737-4327
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
80063
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TXB128760
MEDICARE PTAN
TX
Enumeration date
03/20/2013
Last updated
11/30/2016
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