Provider Demographics
NPI:1265824015
Name:SOUND SOURCE ASSOCIATES LLC
Entity Type:Organization
Organization Name:SOUND SOURCE ASSOCIATES LLC
Other - Org Name:MISSION HEARING AID CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:915-433-1829
Mailing Address - Street 1:1344 JIM PAUL DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-7218
Mailing Address - Country:US
Mailing Address - Phone:915-433-1829
Mailing Address - Fax:
Practice Address - Street 1:6044 GATEWAY BLVD E
Practice Address - Street 2:SUITE 301
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79905-2023
Practice Address - Country:US
Practice Address - Phone:915-303-9200
Practice Address - Fax:915-303-9202
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-02
Last Update Date:2015-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50394237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty