CALLIE JACK NPI 1093182057

NPI Information

  • NPI: 1093182057
  • Provider Name: CALLIE JACK
  • Classification: Audiologist-Hearing Aid Fitter - 237600000X
  • Entity Type: Individual
  • Address: 6162 E. MOCKINGBIRD LANE
    SUITE 100
    DALLAS, TX
    ZIP 75214
  • Phone: (214) 824-6400

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NPI Details

Callie Jack is an audiologist hearing aid fitter in Dallas, TX. The provider is an audiologist/hearing aid fitter is the professional who specializes in evaluating and treating people with hearing loss, conducts a wide variety of tests to determine the exact nature of an individual's hearing problem, presents a variety of treatment options to patients, dispenses and fits hearing aids, administers tests of balance to evaluate dizziness and provides hearing rehabilitation training. This classification should be used where individuals are licensed as audiologist-hearing aid fitters as opposed to states that license individuals as audiologists. Callie Jack NPI is 1093182057. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6162 E. MOCKINGBIRD LANE
SUITE 100
DALLAS, TX
ZIP 75214
Phone: (214) 824-6400

The enumeration date for this NPI number is 8/26/2015 and was last updated on 8/26/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1237600000XAudiologist-Hearing Aid Fitter80684TEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1180895801MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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