Organization
HEARING INSTITUTE OF TEXAS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LANCE E JACKSON M.D. (OWNER)
(210) 696-4327
Entity
Organization
Contact information
Practice address
18518 HARDY OAK BLVD, SUITE 301, SAN ANTONIO, TX 78258-4271
(210) 696-4327
(210) 798-2509
Mailing address
18518 HARDY OAK BLVD, SUITE 301, SAN ANTONIO, TX 78258-4271
(210) 696-4327
(210) 798-2509
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
L5777
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201223901
—
TX
Enumeration date
11/27/2007
Last updated
10/19/2010
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