Healthcare Provider Details

I. General information

NPI: 1083734883
Provider Name (Legal Business Name): SOUTH PLAINS HEARING AID CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5137 69TH ST STE B
LUBBOCK TX
79424-1644
US

IV. Provider business mailing address

5137 69TH ST STE B
LUBBOCK TX
79424-1644
US

V. Phone/Fax

Practice location:
  • Phone: 806-698-1083
  • Fax: 806-698-1084
Mailing address:
  • Phone: 806-698-1083
  • Fax: 806-698-1084

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: MR. TERRY C HILL
Title or Position: PRESIDENT
Credential: HEARING SPECIALIST
Phone: 806-698-1083