Organization
CHENAULT HOUSE OF HEARING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN BRADLEY CHENAULT AUDIOPROSTHOLOGIST (OWNER)
(903) 455-5424
Entity
Organization
Contact information
Practice address
2112 STONEWALL ST, GREENVILLE, TX 75401-3344
(903) 455-5424
(903) 455-8922
Mailing address
2112 STONEWALL ST, GREENVILLE, TX 75401-3344
(903) 455-5424
(903) 455-8922
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
50067
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022438801
—
TX
01
—
1225007107
NPI - INDIVIDUAL
TX
01
—
528263
BLUE CROSS BLUE SHIELD
TX
Enumeration date
11/22/2006
Last updated
05/16/2012
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