MEDICARE: BELTONE HEARING CENTERS

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	332S00000X	Hearing Aid Equipment		TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740469410
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BELTONE HEARING CENTERS

Provider Business Mailing Address
First Line	:	PO BOX 1526
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77631-1526
Country	:	US
Telephone Number	:	409-886-5803
Fax Number	:	409-886-5803

Provider Business Practice Location Address
First Line	:	2429 MARTIN LUTHER KING JR DR
Second Line	:
City	:	ORANGE
State	:	TX
Zip	:	77630-1774
Country	:	US
Telephone Number	:	409-886-5803
Fax Number	:	409-886-5803

Authorized Official
Title or Position	:	OWNER
Name	:	MR. TY J. MANUEL
Credential	:
Telephone Number	:	409-886-5802

Provider Enumeration Date	:	10/30/2007
Last Update Date	:	06/13/2008

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Directions to “BELTONE HEARING CENTERS ” Practice Location

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