Healthcare Provider Details
I. General information
NPI: 1972750412
Provider Name (Legal Business Name): CAPITAL HEARING CENTERS
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2008
Last Update Date: 08/27/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5750 BALCONES DR SUITE 200
AUSTIN TX
78731-4252
US
IV. Provider business mailing address
5750 BALCONES DR SUITE 200
AUSTIN TX
78731-4252
US
V. Phone/Fax
- Phone: 512-836-8786
- Fax: 512-836-8794
- Phone: 512-836-8786
- Fax: 512-836-8794
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 332B00000X |
| Taxonomy | Durable Medical Equipment & Medical Supplies |
| License Number | J2122 |
| License Number State | TX |
VIII. Authorized Official
Name: DR.
JAMES
V
KEMPER
JR.
Title or Position: PRESIDENT
Credential: M.D.
Phone: 512-836-8786