Organization
ALLEN HEARING CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MICHELE GILLENTINE AU.D. (DOCTOR OF AUDIOLOGY-PRESIDENT)
(972) 747-1333
Entity
Organization
Contact information
Practice address
915 W EXCHANGE PKWY, SUITE 180-A, ALLEN, TX 75013-7017
(972) 747-1333
(972) 747-1132
Mailing address
915 W EXCHANGE PKWY, SUITE 180-A, ALLEN, TX 75013-7017
(972) 747-1333
(972) 747-1132
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
51020
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469165-04
—
TX
01
—
530720
BCBS
—
Enumeration date
07/03/2007
Last updated
10/14/2008
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