Healthcare Provider Details

I. General information

NPI: 1235474644
Provider Name (Legal Business Name): METX LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2012
Last Update Date: 06/21/2023
Certification Date: 06/21/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5020 N DESERT BLVD BLDG C1A
EL PASO TX
79912
US

IV. Provider business mailing address

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

V. Phone/Fax

Practice location:
  • Phone: 915-760-8830
  • Fax: 915-760-8840
Mailing address:
  • Phone: 254-537-4426
  • Fax: 254-300-4619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number50235
License Number StateTX

VIII. Authorized Official

Name: NIDIA GARCIA
Title or Position: ADMIN
Credential:
Phone: 254-227-6825