Organization
REVIVE HEARING CENTER OF SAN MARCOS, LLC
Active
Organization
REVIVE HEARING CENTER OF SAN MARCOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN ETHE (CEO)
(718) 360-1003
Entity
Organization
Contact information
Practice address
300 CM ALLEN PARKWAY, SUITE 300A, SAN MARCOS, TX 78666
(512) 667-6904
(512) 667-7138
Mailing address
300 CM ALLEN PARKWAY, SUITE 300A, SAN MARCOS, TX 78666
(512) 667-6904
(512) 667-7138
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
32039416220
TX
Other
Enumeration date
09/17/2009
Last updated
10/23/2009
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