MEDICARE: MENM, LLC

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

General Provider Information

NPI Number	:	1689445009
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MENM, LLC

Provider Business Mailing Address
First Line	:	8300 CENTRAL PARK DR STE 100
Second Line	:
City	:	WACO
State	:	TX
Zip	:	76712-6666
Country	:	US
Telephone Number	:	254-227-6825
Fax Number	:	254-300-4990

Provider Business Practice Location Address
First Line	:	3400 S 70TH ST STE B
Second Line	:
City	:	FORT SMITH
State	:	AR
Zip	:	72903-5292
Country	:	US
Telephone Number	:	479-974-9880
Fax Number	:

Authorized Official
Title or Position	:	VP OF MARKETING
Name	:	NIDIA GARCIA
Credential	:
Telephone Number	:	254-227-6825

Provider Enumeration Date	:	01/15/2024
Last Update Date	:	01/15/2024

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