MEDICARE: MICHAEL JAMES LECOMPTE H.I.S.

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	237700000X	Hearing Instrument Specialist	50165	TX

General Provider Information

NPI Number	:	1760569107
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL JAMES LECOMPTE H.I.S.

Provider Business Mailing 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

Provider Business Practice Location Address
First Line	:	401 W FAIRMONT PKWY STE E
Second Line	:
City	:	LA PORTE
State	:	TX
Zip	:	77571-6314
Country	:	US
Telephone Number	:	281-470-4722
Fax Number	:	281-470-4722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/01/2006
Last Update Date	:	06/29/2015

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