Provider Demographics
NPI:1174753644
Name:J & L HEARING CENTER
Entity type:Organization
Organization Name:J & L HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:DALE
Authorized Official - Last Name:CARROLL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-773-6270
Mailing Address - Street 1:4425 JEFFERSON AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TEXARKANA
Mailing Address - State:AR
Mailing Address - Zip Code:71854-1535
Mailing Address - Country:US
Mailing Address - Phone:870-773-6270
Mailing Address - Fax:
Practice Address - Street 1:4425 JEFFERSON AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:TEXARKANA
Practice Address - State:AR
Practice Address - Zip Code:71854-1535
Practice Address - Country:US
Practice Address - Phone:870-773-6270
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-19
Last Update Date:2009-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment