Arlington Audiology, P.C.
Organization Active NPI Audiologist · Arlington, TX
NPI 1043219082 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1043219082
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Audiologist 231H00000X
- Legal business name
- ARLINGTON AUDIOLOGY, P.C.
- Practice address
- 3132 Matlock Rd
Suite 303
Arlington, TX 76015-2910 - Phone
- (817) 472-7720
- Fax
- (817) 417-7280
- NPI assigned
- Jul 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Kellie Sarah Lorensen
- Title
- Office Manager
- Phone
- (817) 472-7720
Practitioners 6
-
Jacobi Davis, AU.D.
-
Marylyn D Koble, MS, CCC-A
-
Marla Faye Gracia, AUD
-
Melvin T Joki, MD
-
Richard Eric Reynolds, AU.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080428000365 | TX | Part B Supplier - Clinic/Group Practice | 6901984285 |
Receives reassigned benefits from 3 practitioners Practice locations: Arlington, TX; Cedar Hill, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist |
231H00000X | Yes |
Addresses
Primary practice location
3132 Matlock Rd
Suite 303
Arlington, TX 76015-2910
Mailing address
3132 Matlock Rd
Suite 303
Arlington, TX 76015-2910
Phone (817) 472-7720
Other practice location 1
610 Uptown Blvd Ste 2000
Cedar Hill, TX 75104-3528
Phone (817) 472-7720
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0048CE | Other | TX | BCBS |
| 1107889001 | Other | TX | CIGNA |
Other names
- Audiology Associates of DFW
- Arlington Audiology, Inc.
- Audiology Associates of Arlington
Other providers in Arlington, TX
- Arkansas Pioneer Chiropractic Health Centre P a
- Arlington Anesthesia Group, PLLC
- Arlington Apnea Sleep Center LLP
- Arlington Assisted Living, LTD.
- Arlington Association of Neurological Surgeons, PA
- Arlington Bariatrics, PLLC
- Arlington Cooper Senior Living Limited Partnership
- Arlington Dental Services, P.a.
- Arlington Depression Treatment Center
- Arlington Dermatology Clinic, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.