Provider Demographics
NPI:1497806731
Name:MCCRAE HEARING VENTURES, INC.
Entity Type:Organization
Organization Name:MCCRAE HEARING VENTURES, INC.
Other - Org Name:BELTONE AUDIOLOGY & HEARING AIDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MURDOCK
Authorized Official - Last Name:MCCRAE
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:210-402-6020
Mailing Address - Street 1:17201 SAN PEDRO AVE
Mailing Address - Street 2:SUITE #100
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1403
Mailing Address - Country:US
Mailing Address - Phone:210-402-6020
Mailing Address - Fax:210-402-6990
Practice Address - Street 1:17201 SAN PEDRO AVE
Practice Address - Street 2:SUITE #100
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1403
Practice Address - Country:US
Practice Address - Phone:210-402-6020
Practice Address - Fax:210-402-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-15
Last Update Date:2013-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50134237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX176363301Medicaid
TX00152UMedicare UPIN
TX176363301Medicaid