Provider Demographics
NPI:1376752865
Name:ROBBERSON HEARING DBA HEAR TECH HEARING CENTER
Entity Type:Organization
Organization Name:ROBBERSON HEARING DBA HEAR TECH HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOPROSTHOLOGIST
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:WRIGHT
Authorized Official - Last Name:ROBBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:BA,ACA, HIS
Authorized Official - Phone:903-753-4494
Mailing Address - Street 1:414 E LOOP 281
Mailing Address - Street 2:SUITE #4
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-7930
Mailing Address - Country:US
Mailing Address - Phone:903-753-4494
Mailing Address - Fax:903-753-6585
Practice Address - Street 1:414 E LOOP 281
Practice Address - Street 2:SUITE #4
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75605-7930
Practice Address - Country:US
Practice Address - Phone:903-753-4494
Practice Address - Fax:903-753-6585
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-21
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50181237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty