MEDICARE: HEART OF TEXAS HEARING CENTERS, 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	261Q00000X	Clinic/Center
2	332S00000X	Hearing Aid Equipment

General Provider Information

NPI Number	:	1932605029
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART OF TEXAS HEARING CENTERS, INC.

Provider Business Mailing Address
First Line	:	2510 CROCKETT DR STE A
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5928
Country	:	US
Telephone Number	:	325-646-5633
Fax Number	:	325-646-5405

Provider Business Practice Location Address
First Line	:	2510 CROCKETT DR STE A
Second Line	:
City	:	BROWNWOOD
State	:	TX
Zip	:	76801-5928
Country	:	US
Telephone Number	:	325-646-5633
Fax Number	:	325-646-5405

Authorized Official
Title or Position	:	OWNER
Name	:	JAMES J FOWLER
Credential	:	MD
Telephone Number	:	325-646-5633

Provider Enumeration Date	:	04/05/2018
Last Update Date	:	04/05/2018

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