Organization
AUSTIN HEARING AID CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM ARTHUR RUDOLPH JR. MA, CCC-A (AUDIOLOGIST)
(512) 444-8684
Entity
Organization
Contact information
Practice address
4403 MANCHACA RD, SUITE E, AUSTIN, TX 78745-1680
(512) 444-8684
(512) 444-8697
Mailing address
4403 MANCHACA RD, SUITE E, AUSTIN, TX 78745-1680
(512) 444-8684
(512) 444-8697
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
50378
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730249160
INDIVIDUAL NPI NUMBER
TX
01
—
514099
BCBS
TX
Enumeration date
05/21/2007
Last updated
06/17/2008
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