Healthcare Provider Details

I. General information

NPI: 1578846853
Provider Name (Legal Business Name): METX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2011
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

818 N HIGHWAY 67 SUITE 100 B
CEDAR HILL TX
75104
US

IV. Provider business mailing address

8300 CENTRAL PARK DR STE 100
WACO TX
76712-6666
US

V. Phone/Fax

Practice location:
  • Phone: 972-291-3052
  • Fax:
Mailing address:
  • Phone: 254-870-0574
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237700000X
TaxonomyHearing Instrument Specialist
License Number
License Number State

VIII. Authorized Official

Name: KENNY LYNN CARROLL
Title or Position: ADMIN
Credential:
Phone: 542-227-5189