| |
1618 Canyon Creek Dr Ste 140, Temple, TX 76502-3273 | |
(254) 774-7727 | |
(254) 771-1256 |
Full Name | |
---|---|
Type | Facility |
Speciality | Audiologist-hearing Aid Fitter |
Location | 1618 Canyon Creek Dr Ste 140, Temple, Texas |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265844369 | NPI | - | NPPES |
1452823-01 | Medicaid | TX | |
1452823-03 | Medicaid | TX | |
1452823-02 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
231H00000X | Audiologist | 50228 (Texas) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 50228 (Texas) | Primary |
Mailing Address | Practice Location Address |
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1618 Canyon Creek Dr Ste 140, Temple, TX 76502-3273 Ph: (254) 774-7727 | 1618 Canyon Creek Dr Ste 140, Temple, TX 76502-3273 Ph: (254) 774-7727 |