Organization
THE ENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA K HOWRY (BUSINESS MANAGER)
(903) 793-0691
Entity
Organization
Contact information
Practice address
4214 TEXAS BLVD, TEXARKANA, TX 75503-3013
(903) 793-0691
(903) 794-2046
Mailing address
4214 TEXAS BLVD, TEXARKANA, TX 75503-3013
(903) 793-0691
(903) 794-2046
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
50679
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
532202
TEXAS BLUE CROSS PIN
TX
Enumeration date
09/05/2007
Last updated
06/19/2008
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