Provider Demographics
NPI:1326259185
Name:MIDLAND AUDIOLOGY ASSOCIATES
Entity Type:Organization
Organization Name:MIDLAND AUDIOLOGY ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:S
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:432-683-2521
Mailing Address - Street 1:2012 W OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:TX
Mailing Address - Zip Code:79701-5946
Mailing Address - Country:US
Mailing Address - Phone:432-683-2521
Mailing Address - Fax:432-683-2521
Practice Address - Street 1:2012 W OHIO AVE
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:TX
Practice Address - Zip Code:79701-5946
Practice Address - Country:US
Practice Address - Phone:432-683-2521
Practice Address - Fax:432-683-2521
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment