Grace Paddock, AUD | |
1438 E Southlake Blvd, Southlake, TX 76092-6419 | |
(682) 477-4063 | |
(682) 477-4000 |
Full Name | Grace Paddock |
---|---|
Gender | Female |
Speciality | Audiologist |
Location | 1438 E Southlake Blvd, Southlake, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215604038 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | LD61204276 (Washington) | Secondary |
231H00000X | Audiologist | 81430 (Texas) | Primary |
Provider Name | Ecoutez Southlake Llc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578139184 PECOS PAC ID: 8527466614 Enrollment ID: O20211004001578 |
Mailing Address | Practice Location Address |
---|---|
Grace Paddock, AUD 1438 E Southlake Blvd, Southlake, TX 76092-6419 Ph: (682) 477-4063 | Grace Paddock, AUD 1438 E Southlake Blvd, Southlake, TX 76092-6419 Ph: (682) 477-4063 |
Kathryn Cassidy, Audiologist Medicare: Not Enrolled in Medicare Practice Location: 190 S Peytonville Ave Ste 120, Southlake, TX 76092 Phone: 817-488-1637 | |
Mary Maddie Pollok, AUD FAAA Audiologist Medicare: Accepting Medicare Assignments Practice Location: 245 W State Highway 114 Ste 120, Southlake, TX 76092 Phone: 817-591-7155 | |
Ashley Brown, AUD Audiologist Medicare: Not Enrolled in Medicare Practice Location: 190 S Peytonville Ave Ste 120, Southlake, TX 76092 Phone: 817-488-1637 | |
Dr. Lori Amber Roby, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 2211 E Southlake Blvd Ste 525, Southlake, TX 76092 Phone: 817-873-6810 | |
Courtney Cron, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 2813 W Southlake Blvd Ste 150, Southlake, TX 76092 Phone: 817-835-9289 | |
Dr. Kristen Moriah Crawford, AUD Audiologist Medicare: Accepting Medicare Assignments Practice Location: 300 S Nolen Dr, Southlake, TX 76092 Phone: 817-989-2400 |