=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508094780
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TEXAS HEARING SERVICES CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/26/2009
-----------------------------------------------------
Last Update Date | 03/24/2011
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1213 E ALTON GLOOR BLVD STE F
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78526-3906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-542-2475
-----------------------------------------------------
Fax | 956-541-0234
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1213 E ALTON GLOOR BLVD STE F
-----------------------------------------------------
City | BROWNSVILLE
-----------------------------------------------------
State | TX
-----------------------------------------------------
Zip | 78526-3906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 956-542-2475
-----------------------------------------------------
Fax | 956-541-0234
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/PRESIDENT
-----------------------------------------------------
Name | BROOKS BOYD RULE
-----------------------------------------------------
Credential | HIS
-----------------------------------------------------
Telephone | 956-455-5566
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 237700000X
-----------------------------------------------------
Taxonomy Name | Hearing Instrument Specialist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------