Organization Name: | HEARING INSTITUTE OF TEXAS |
NPI Number: | 1053593590 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LANCE E JACKSON (OWNER) |
Mailing Address: | 18518 Hardy Oak Blvd Suite 301 San Antonio |
State: | TX US |
Postal Code: | 782584271 |
Phone Number: | 2106964327 |
Fax Number: | 2107982509 |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 10/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | L5777 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Hearing Aid Equipment |
Taxonomy Specialization: | |
Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |