Organization
MAXEAR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD C. MANGIAMELE AUDIOPROSTHOLOGIST (OWNER/PRESIDENT)
(512) 308-9999
Entity
Organization
Contact information
Practice address
3971 HIGHWAY 71 E, 107, BASTROP, TX 78602-5121
(512) 308-9999
(512) 308-9998
Mailing address
PO BOX 209, BASTROP, TX 78602-0209
(512) 308-9999
(512) 308-9998
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
50586
TX
Other
Enumeration date
09/20/2006
Last updated
08/22/2020
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