Provider Demographics
NPI:1992089064
Name:WRIGHT HEARING AID CENTER, INC.
Entity type:Organization
Organization Name:WRIGHT HEARING AID CENTER, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUTIERREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-496-5882
Mailing Address - Street 1:810 HIGHWAY 6 S
Mailing Address - Street 2:SUITE 117
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-4025
Mailing Address - Country:US
Mailing Address - Phone:281-496-5882
Mailing Address - Fax:281-496-9259
Practice Address - Street 1:810 HIGHWAY 6 S
Practice Address - Street 2:SUITE 117
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-4025
Practice Address - Country:US
Practice Address - Phone:281-496-5882
Practice Address - Fax:281-496-9259
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-06
Last Update Date:2012-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80257332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2113052-01Medicaid