| Organization Name: | ANDERSON AUDIOLOGY ASSOCIATES, LLC |
| NPI Number: | 1144536806 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RENAE FOWLER (PRACTICE MANAGER) |
| Mailing Address: | 1550 Norwood Dr Suite 100 Hurst |
| State: | TX US |
| Postal Code: | 760543646 |
| Phone Number: | 8172828402 |
| Fax Number: | 8172856182 |
| NPI Enumeration Date: | 08/19/2010 |
| NPI Last Update Date: | 04/25/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 231HA2400X |
| License Number: | 50913 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Audiologist |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |