Organization Name: | SPECTRUM AUDIOLOGY |
NPI Number: | 1912389867 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WILLIAM MCCRAE (PRESIDENT) |
Mailing Address: | 17201 San Pedro Ave Suite 100 San Antonio |
State: | TX US |
Postal Code: | 782321403 |
Phone Number: | 2104026020 |
Fax Number: | 2104026990 |
NPI Enumeration Date: | 06/26/2015 |
NPI Last Update Date: | 07/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332S00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
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. |