Provider Demographics
NPI:1316348162
Name:CRAWFORD HEARING AID CENTER, L.L.C.
Entity type:Organization
Organization Name:CRAWFORD HEARING AID CENTER, L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:NEMEC
Authorized Official - Last Name:CRAWFORD
Authorized Official - Suffix:
Authorized Official - Credentials:MA-CCC-A
Authorized Official - Phone:817-757-7707
Mailing Address - Street 1:1016 PALO PINTO ST
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76086-4016
Mailing Address - Country:US
Mailing Address - Phone:817-757-7707
Mailing Address - Fax:817-757-7709
Practice Address - Street 1:1016 PALO PINTO ST
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:TX
Practice Address - Zip Code:76086-4016
Practice Address - Country:US
Practice Address - Phone:817-757-7707
Practice Address - Fax:817-757-7709
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-11
Last Update Date:2014-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50949237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty