Provider Demographics
NPI:1194124107
Name:COMPREHENSIVE HEARING CENTER OF LAS VEGAS
Entity type:Organization
Organization Name:COMPREHENSIVE HEARING CENTER OF LAS VEGAS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HUNSAKER
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:702-279-6704
Mailing Address - Street 1:301 N PECOS RD STE G
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-1350
Mailing Address - Country:US
Mailing Address - Phone:702-732-3800
Mailing Address - Fax:702-732-4747
Practice Address - Street 1:301 N PECOS RD STE G
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-1350
Practice Address - Country:US
Practice Address - Phone:702-732-3800
Practice Address - Fax:702-732-4747
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-14
Last Update Date:2014-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV220231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty