Provider Demographics
NPI:1215475595
Name:BIONIX HEARING, LLC
Entity type:Organization
Organization Name:BIONIX HEARING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:972-922-7456
Mailing Address - Street 1:2217 NORTH TARRANT PKWY
Mailing Address - Street 2:#211
Mailing Address - City:FORT WORTH
Mailing Address - State:TX
Mailing Address - Zip Code:76177-2220
Mailing Address - Country:US
Mailing Address - Phone:972-922-7456
Mailing Address - Fax:972-922-7104
Practice Address - Street 1:2217 NORTH TARRANT PKWY
Practice Address - Street 2:#211
Practice Address - City:FORT WORTH
Practice Address - State:TX
Practice Address - Zip Code:76177-2220
Practice Address - Country:US
Practice Address - Phone:972-922-7456
Practice Address - Fax:972-922-7104
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:EDWARDS AND MORALES INVESTMENTS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-02-07
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50644237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty