Metro Ear Nose And Throat
Specialist in Plano, TX. Organization (NPI-2).
NPI number1104136928
StatusActive
Last updated in NPPESApr 8, 2019
Details
- NPI
- 1104136928
- Entity type
- Organization (NPI-2)
- Legal business name
- Metro Ear Nose And Throat
- Organization subpart
- No
- Enumeration date
- Oct 14, 2010
- Last updated
- Apr 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | D9259 | TX | Yes |
| 261QH0700X | Clinic/Center, Hearing and Speech | – | – | |
| 332S00000X | Hearing Aid Equipment | – | – |
Other names
- Ear Consultants Of The Sw (Doing Business As)
Practice location
4708 Alliance BoulevardPavillion 1 Suite#860
Plano, TX 75093-5340
Phone 214-742-2194 · Fax 214-827-0162
Mailing address
4104 Junius StreetDallas, TX 75246-1427
Phone 214-742-2194 · Fax 214-827-0162
Authorized official
Fred Delano Owens
Ceo
2147422194
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