Healthcare Provider Details

I. General information

NPI: 1457400384
Provider Name (Legal Business Name): AURALTEC HEARING CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 04/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

109 E 5TH ST
ROSWELL NM
88201-6205
US

IV. Provider business mailing address

109 E 5TH ST
ROSWELL NM
88201-6205
US

V. Phone/Fax

Practice location:
  • Phone: 575-622-2887
  • Fax: 575-622-3379
Mailing address:
  • Phone: 575-622-2887
  • Fax: 575-622-3379

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number470A
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number StateNM
# 3
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number470A
License Number StateNM

VIII. Authorized Official

Name: MR. ROLAND WESLEY MILLER
Title or Position: PRESIDENT
Credential: BC-HIS, ACA
Phone: 575-622-2887