Provider Demographics
NPI:1972769925
Name:BARRY KIENHOLZ HEARING AID CENTERS
Entity type:Organization
Organization Name:BARRY KIENHOLZ HEARING AID CENTERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:BARRY
Authorized Official - Middle Name:QUENTIN
Authorized Official - Last Name:KIENHOLZ
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:281-363-2847
Mailing Address - Street 1:PO BOX 8036
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77387-8036
Mailing Address - Country:US
Mailing Address - Phone:281-363-2847
Mailing Address - Fax:281-298-2782
Practice Address - Street 1:19221 I H 45 S STE 140
Practice Address - Street 2:
Practice Address - City:SHENANDOAH
Practice Address - State:TX
Practice Address - Zip Code:77385-8731
Practice Address - Country:US
Practice Address - Phone:281-363-2847
Practice Address - Fax:281-298-2782
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50414237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty