Organization
MARTIN E MCGONAGLE MD PA
Active
Other names
Midtex Hearing Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARTIN E. MCGONAGLE MD, PA (OWNER)
(817) 579-2660
Entity
Organization
Contact information
Practice address
510 E HWY 377, GRANBURY, TX 76048-2556
(817) 579-2662
(817) 579-2663
Mailing address
510 E HWY 377, GRANBURY, TX 76048-2556
(817) 579-2662
(817) 579-2663
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
531541
BCBS
TX
Enumeration date
06/12/2007
Last updated
06/30/2008
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