Organization
MARTIN E MCGONAGLE MD PA
Active
Organization
MARTIN E MCGONAGLE MD PA
Active
Other names
Mid-Tex 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
763 N GRAHAM ST, STEPHENVILLE, TX 76401-3148
(254) 965-4944
(254) 965-5373
Mailing address
763 N GRAHAM ST, STEPHENVILLE, TX 76401-3148
(254) 965-4944
(254) 965-5373
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K94W
MEDICARE ID
TX
05
—
126628005
—
TX
01
—
531478
BCBS
TX
Enumeration date
06/11/2007
Last updated
06/30/2008
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