MEDICARE: HEALTHY HEARING ENTERPRISES OF SAN ANTONIO, PLLC

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

General Provider Information

NPI Number	:	1902462203
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHY HEARING ENTERPRISES OF SAN ANTONIO, PLLC

Provider Business Mailing Address
First Line	:	2904 VICTORY DR
Second Line	:
City	:	MARSHALL
State	:	TX
Zip	:	75672-4514
Country	:	US
Telephone Number	:	903-927-1111
Fax Number	:

Provider Business Practice Location Address
First Line	:	2903 N SAINT MARYS ST STE B
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78212-3532
Country	:	US
Telephone Number	:	903-297-5353
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ROGER A GARCIA
Credential	:	HIS
Telephone Number	:	903-297-5353

Provider Enumeration Date	:	05/13/2019
Last Update Date	:	05/13/2019

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