Provider Demographics
NPI:1831706175
Name:MONKEY EARS, LLC
Entity type:Organization
Organization Name:MONKEY EARS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBI
Authorized Official - Middle Name:
Authorized Official - Last Name:WEATHERLY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-479-7019
Mailing Address - Street 1:6168 BENTRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:HURST
Mailing Address - State:TX
Mailing Address - Zip Code:76054-2615
Mailing Address - Country:US
Mailing Address - Phone:817-479-7019
Mailing Address - Fax:817-479-8009
Practice Address - Street 1:1140 N KIMBALL AVE
Practice Address - Street 2:
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-5569
Practice Address - Country:US
Practice Address - Phone:817-479-7019
Practice Address - Fax:817-479-8009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MONKEY MOUTHS, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-09-30
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty