Provider Demographics
NPI:1780064279
Name:ACUITY AUDIO HEALTH LLC
Entity type:Organization
Organization Name:ACUITY AUDIO HEALTH LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING CONTACT
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCWILLIAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-475-4045
Mailing Address - Street 1:PO BOX 1833
Mailing Address - Street 2:
Mailing Address - City:COLLEYVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:76034-1833
Mailing Address - Country:US
Mailing Address - Phone:469-843-0071
Mailing Address - Fax:
Practice Address - Street 1:128 N HIGHWAY 77
Practice Address - Street 2:
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1800
Practice Address - Country:US
Practice Address - Phone:469-843-0071
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-01
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment