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NPI Code Detail

MEDICARE: ELLIS COUNTY HEARING CLINIC

MEDICARE: ELLIS COUNTY HEARING CLINIC
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
1332S00000XHearing Aid EquipmentD6203TX

General Provider Information

NPI Number : 1881926574
Entity Type Code : Organization
Provider Name (Legal Business Name) : ELLIS COUNTY HEARING CLINIC
Provider Business Mailing Address
First Line : 1505 W JEFFERSON ST
Second Line : 160
City : WAXAHACHIE
State : TX
Zip : 75165-2277
Country : US
Telephone Number : 972-938-7070
Fax Number : 972-923-7134
Provider Business Practice Location Address
First Line : 1505 W JEFFERSON ST
Second Line : 160
City : WAXAHACHIE
State : TX
Zip : 75165-2277
Country : US
Telephone Number : 972-938-7070
Fax Number : 972-923-7134
Authorized Official
Title or Position : OWNER
Name : DR. DAVID LEWIS WEBB
Credential : MD
Telephone Number : 972-923-0130
Provider Enumeration Date : 02/04/2010
Last Update Date : 02/04/2010

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Directions to “ELLIS COUNTY HEARING CLINIC ” Practice Location

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