Provider Demographics
NPI:1104128412
Name:AUDIBLE HEARING CENTERS LLC
Entity type:Organization
Organization Name:AUDIBLE HEARING CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/HEARING AID SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:JOE
Authorized Official - Middle Name:D
Authorized Official - Last Name:CRNKOVIC
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:979-779-3070
Mailing Address - Street 1:3600 S TEXAS AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3769
Mailing Address - Country:US
Mailing Address - Phone:979-779-3070
Mailing Address - Fax:979-779-7565
Practice Address - Street 1:3600 S TEXAS AVE STE 400
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3769
Practice Address - Country:US
Practice Address - Phone:979-779-3070
Practice Address - Fax:979-779-7565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-19
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
332B00000X
TX50236332B00000X, 237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Multi-Specialty
No332B00000XSuppliersDurable Medical Equipment & Medical SuppliesGroup - Multi-Specialty