Organization
NORTHEAST SAN ANTONIO HEARING AND BALANCE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH L TAYLOR (GENERAL MANAGER)
(210) 653-1722
Entity
Organization
Contact information
Practice address
12413 JUDSON RD, SUITE 200, LIVE OAK, TX 78233-3202
(210) 653-1722
(210) 653-1742
Mailing address
12413 JUDSON RD, SUITE 200, LIVE OAK, TX 78233-3202
(210) 653-1722
(210) 653-1742
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
50555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1761140
—
TX
Enumeration date
02/27/2009
Last updated
02/27/2009
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