Healthcare Provider Details

I. General information

NPI: 1699050559
Provider Name (Legal Business Name): METX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8215 UNIVERSITY AVE STE 100
LUBBOCK TX
79423-3168
US

IV. Provider business mailing address

1404 S NEW RD
WACO TX
76711-1335
US

V. Phone/Fax

Practice location:
  • Phone: 806-698-1083
  • Fax:
Mailing address:
  • Phone: 254-537-4422
  • Fax: 254-300-4619

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number50313
License Number StateTX

VIII. Authorized Official

Name: KRISTIN BEHELIER
Title or Position: HR
Credential:
Phone: 254-537-4422