Provider Demographics
NPI:1467642819
Name:UNCLE PERRY'S LLC, DBA
Entity Type:Organization
Organization Name:UNCLE PERRY'S LLC, DBA
Other - Org Name:SIMPSON HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:P
Authorized Official - Last Name:SIMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-659-2949
Mailing Address - Street 1:142A TRULY PLZ
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:TX
Mailing Address - Zip Code:77327-4889
Mailing Address - Country:US
Mailing Address - Phone:281-659-2949
Mailing Address - Fax:281-659-1509
Practice Address - Street 1:142A TRULY PLZ
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:TX
Practice Address - Zip Code:77327-4889
Practice Address - Country:US
Practice Address - Phone:281-659-2949
Practice Address - Fax:281-659-1509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1849523-01Medicaid