Healthcare Provider Details

I. General information

NPI: 1922299916
Provider Name (Legal Business Name): AUSTIN HEARING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2007
Last Update Date: 09/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 WESTLAKE DR STE 103
WEST LAKE HILLS TX
78746-5373
US

IV. Provider business mailing address

102 WESTLAKE DR STE 103
WEST LAKE HILLS TX
78746-5373
US

V. Phone/Fax

Practice location:
  • Phone: 512-328-7722
  • Fax: 512-328-7724
Mailing address:
  • Phone: 512-328-7722
  • Fax: 512-328-7724

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number50679
License Number StateTX

VIII. Authorized Official

Name: MR. KEN J KRIZ
Title or Position: OWNER
Credential:
Phone: 512-328-7722