MEDICARE: DISCOUNT HEARING AIDS OF TEXAS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237700000X	Hearing Instrument Specialist	50142	TX

General Provider Information

NPI Number	:	1578717195
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DISCOUNT HEARING AIDS OF TEXAS, INC.

Provider Business Mailing Address
First Line	:	301 WELLS FARGO DR STE C-12
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-4060
Country	:	US
Telephone Number	:	281-866-7696
Fax Number	:	281-444-8589

Provider Business Practice Location Address
First Line	:	301 WELLS FARGO DR STE C-12
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77090-4060
Country	:	US
Telephone Number	:	281-866-7696
Fax Number	:	281-444-8589

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. GARY W LOGAN
Credential	:	FITTER DISPENSER
Telephone Number	:	281-866-7696

Provider Enumeration Date	:	11/10/2008
Last Update Date	:	11/10/2008

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