Lance Robert Brooks

Individual provider Active NPI Audiologist-Hearing Aid Fitter · Paris, TX

NPI 1306028535 · NPPES record last updated Aug 2, 2011

Key facts

NPI
1306028535
Entity type
Individual (NPI type 1)
Primary specialty
Audiologist-Hearing Aid Fitter 237600000X
License
80263 (TX)
Practice address
3130 Lamar Ave
Paris, TX 75460-5020
Phone
(903) 737-8800
Fax
(903) 784-8429
NPI assigned
Nov 29, 2007
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
80263TXMDAudiologist-Hearing Aid Fitter

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist-Hearing Aid Fitter 237600000X 80263 TX Yes

Addresses

Primary practice location

3130 Lamar Ave
Paris, TX 75460-5020

Mailing address

3130 Lamar Ave
Paris, TX 75460-5020
Phone (903) 737-8800

Other identifiers

IdentifierTypeStateIssuer
198911302MedicaidTX
198911301MedicaidTX
198911304MedicaidTX
198911303MedicaidTX
198911305MedicaidTX

Other providers in Paris, TX

All providers in Paris, TX · Audiologist-Hearing Aid Fitter in Texas

Sources for this page

Verify at the official NPI Registry.