Provider Demographics
NPI:1306161815
Name:ABSOLUTE HEARING AID SERVICES, INC.
Entity type:Organization
Organization Name:ABSOLUTE HEARING AID SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JO
Authorized Official - Last Name:BRYAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:936-872-3374
Mailing Address - Street 1:PO BOX 6
Mailing Address - Street 2:
Mailing Address - City:BROADDUS
Mailing Address - State:TX
Mailing Address - Zip Code:75929-0006
Mailing Address - Country:US
Mailing Address - Phone:936-872-3033
Mailing Address - Fax:
Practice Address - Street 1:19677 FM 1277
Practice Address - Street 2:
Practice Address - City:BROADDUS
Practice Address - State:TX
Practice Address - Zip Code:75929-0006
Practice Address - Country:US
Practice Address - Phone:936-872-3033
Practice Address - Fax:939-872-3033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-03-29
Last Update Date:2010-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50024237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty