| Organization Name: | COSTCO HEARING CENTER |
| NPI Number: | 1386951630 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHELLY MURIEL DUCOS (SENIOR HEARING SPECIALIST) |
| Mailing Address: | 5611 Utsa Blvd San Antonio |
| State: | TX US |
| Postal Code: | 782491619 |
| Phone Number: | 2102002033 |
| Fax Number: | 2102002058 |
| NPI Enumeration Date: | 09/08/2010 |
| NPI Last Update Date: | 09/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | 50544 |
| 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. |