FARRIS, INC.

Provider Demographics

• NPI: 1134279896
• Name: FARRIS, INC.
• Entity Type: Organization
• Organization Name: FARRIS, INC.
• Other - Org Name: A & B HEARING AID & AUDIOLOGY CENTER
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: MANAGER
• Authorized Official - First Name: LARRY
• Authorized Official - Middle Name: W
• Authorized Official - Last Name: FARRIS
• Authorized Official - Credentials: BA
• Authorized Official - Phone: 210-342-2299
• Mailing Address - Street 1: 6609 BLANCO RD
• Mailing Address - Street 2: SUITE 115
• Mailing Address - City: SAN ANTONIO
• Mailing Address - State: TX
• Mailing Address - Zip Code: 78216-6131
• Mailing Address - Country: US
• Mailing Address - Phone: 210-342-2299
• Mailing Address - Fax: 210-342-5499
• Practice Address - Street 1: 6609 BLANCO RD
• Practice Address - Street 2: SUITE 115
• Practice Address - City: SAN ANTONIO
• Practice Address - State: TX
• Practice Address - Zip Code: 78216-6131
• Practice Address - Country: US
• Practice Address - Phone: 210-342-2299
• Practice Address - Fax: 210-342-5499
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-01-12
• Last Update Date: 2013-12-18

Provider Licenses

State	License ID	Taxonomies
TX	50938	237600000X
TX	50522	237600000X
TX	51259	237600000X
TX	50036	237700000X
TX	50238	237700000X
TX	50006	237700000X
TX	50426	237700000X
TX	50690	237700000X
TX	50688	237700000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	237600000X	Speech, Language and Hearing Service Providers	Audiologist-Hearing Aid Fitter		Group - Multi-Specialty
No	237700000X	Speech, Language and Hearing Service Providers	Hearing Instrument Specialist		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	1980765-01	Medicaid
TX	2011306-01	Medicaid
TX	3053	Other	COMM 1ST
TX	0221178-01	Medicaid
TX	022408101	Medicaid
TX	1994667-01	Medicaid
TX	2010936-01	Medicaid
TX	0221178-02	Medicaid
TX	022411501	Medicaid
TX	179378801	Medicaid
TX	3053	Other	COMM 1ST
TX	3053	Other	COMM 1ST
TX	195904384677	Medicare UPIN
TX	2011306-01	Medicaid
TX	100978700	Medicare UPIN
TX	1980765-01	Medicaid
TX	022408101	Medicaid