Provider Demographics
NPI:1487255832
Name:BEEVILLE HEARING CENTER LLC
Entity type:Organization
Organization Name:BEEVILLE HEARING CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HIS
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:SALAZAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:361-542-4422
Mailing Address - Street 1:2012 N SAINT MARYS ST STE B
Mailing Address - Street 2:
Mailing Address - City:BEEVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:78102-2409
Mailing Address - Country:US
Mailing Address - Phone:361-542-4422
Mailing Address - Fax:
Practice Address - Street 1:2012 N SAINT MARYS ST STE B
Practice Address - Street 2:
Practice Address - City:BEEVILLE
Practice Address - State:TX
Practice Address - Zip Code:78102-2409
Practice Address - Country:US
Practice Address - Phone:361-542-4422
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-03
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech