Provider Demographics
NPI:1386992808
Name:LONE STAR HEARING SERVICES
Entity type:Organization
Organization Name:LONE STAR HEARING SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DUGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:325-641-1825
Mailing Address - Street 1:2410 CROCKETT DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5980
Mailing Address - Country:US
Mailing Address - Phone:325-641-1825
Mailing Address - Fax:325-641-0716
Practice Address - Street 1:2410 CROCKETT DR
Practice Address - Street 2:SUITE A
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5980
Practice Address - Country:US
Practice Address - Phone:325-641-1825
Practice Address - Fax:325-641-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2015-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50122237600000X
TX332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes332S00000XSuppliersHearing Aid Equipment
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty