MEDICARE: MCCRAE MANAGEMENT & INVESTMENTS, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1407104797
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MCCRAE MANAGEMENT & INVESTMENTS, INC.

Provider Business Mailing Address
First Line	:	1708 W 24TH ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77008-1410
Country	:	US
Telephone Number	:	713-869-4700
Fax Number	:	713-869-3578

Provider Business Practice Location Address
First Line	:	26222 RR 12
Second Line	:
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78620-4903
Country	:	US
Telephone Number	:	512-858-0300
Fax Number	:	512-858-2714

Authorized Official
Title or Position	:	INSURANCE SPECIALIST
Name	:	ELISE DOMINEY
Credential	:
Telephone Number	:	512-858-0300

Provider Enumeration Date	:	08/17/2012
Last Update Date	:	08/17/2012

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