Organization Name: | MCLEAN AUDIOLOGY |
NPI Number: | 1700130275 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JODI MCLEAN (OWNER) |
Mailing Address: | 4402 Vance Jackson Rd Suite 156 San Antonio |
State: | TX US |
Postal Code: | 782305336 |
Phone Number: | 2103410451 |
Fax Number: | 2103415834 |
NPI Enumeration Date: | 11/05/2012 |
NPI Last Update Date: | 11/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | 50528 |
Healthcare Provider Taxonomy: (Secondary) | N |
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. |