Provider Demographics
NPI:1215320601
Name:ADVANCED AUDIOLOGY CENTER
Entity type:Organization
Organization Name:ADVANCED AUDIOLOGY CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:TRAINOR-COLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC/A
Authorized Official - Phone:972-494-6537
Mailing Address - Street 1:2318 W WALNUT ST STE B
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75042-6621
Mailing Address - Country:US
Mailing Address - Phone:972-494-6537
Mailing Address - Fax:972-494-5461
Practice Address - Street 1:2318 W WALNUT ST STE B
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75042-6621
Practice Address - Country:US
Practice Address - Phone:972-494-6537
Practice Address - Fax:972-494-5461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-10
Last Update Date:2015-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50778332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment