Organization
LIFESTYLE HEARING CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT A ROGERS BCHIS (OWNER)
(817) 776-7915
Entity
Organization
Contact information
Practice address
701 PALUXY RD, GRANBURY, TX 76048-2355
(817) 776-7915
Mailing address
701 PALUXY RD, GRANBURY, TX 76048-2355
(817) 776-7915
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
80222
TX
Other
Enumeration date
05/13/2009
Last updated
05/13/2009
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