Organization
LIVINGSTON HEARING AID CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD R DAVILA II (PRESIDENT)
(806) 799-8950
Entity
Organization
Contact information
Practice address
5303 50TH STREET, LUBBOCK, TX 79414
(806) 799-8950
(806) 792-9404
Mailing address
5303 50TH STREET, LUBBOCK, TX 79414
(806) 799-8950
(806) 792-9404
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
TX
237700000X
Hearing Instrument Specialist
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
50044
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
094569302
—
TX
01
—
530529
BLUE CROSS BLUE SHIELD
TX
Enumeration date
05/08/2006
Last updated
03/27/2018
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