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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