Organization
MARTIN E MCGONAGLE MD PA
Active
Other names
MidTex Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN E MCGONAGLE MD, PA (OWNER)
(254) 965-7870
Entity
Organization
Contact information
Practice address
107 S PARK DR, BROWNWOOD, TX 76801-5951
(325) 643-5824
(325) 643-1256
Mailing address
510 E HWY 377, GRANBURY, TX 76048-2556
(817) 579-2662
(817) 579-2663
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126628005
—
TX
01
—
531518
BLUE CROSS BLUE SHIELD
—
Enumeration date
02/22/2007
Last updated
06/30/2008
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