Organization
HEARING CENTERS OF AUSTIN EAR NOSE & THROAT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDY B STEVENS (ADMINISTRATOR)
(512) 454-0392
Entity
Organization
Contact information
Practice address
3705 MEDICAL PKWY STE 320, AUSTIN, TX 78705-1023
(512) 454-0392
Mailing address
3705 MEDICAL PKWY STE 320, AUSTIN, TX 78705-1023
(512) 454-0392
Taxonomy
Speciality
Code
Description
License number
State
237600000X
Audiologist-Hearing Aid Fitter
Primary
—
—
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210286501
—
TX
01
—
210286502
MEDICAID CSHCN
TX
Enumeration date
09/01/2009
Last updated
06/01/2010
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