Provider Demographics
NPI:1518165620
Name:DICKSON HEARING CENTER
Entity Type:Organization
Organization Name:DICKSON HEARING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:
Authorized Official - Last Name:DICKSON
Authorized Official - Suffix:
Authorized Official - Credentials:HIS HEARING SP
Authorized Official - Phone:361-991-2423
Mailing Address - Street 1:5262 S STAPLES ST STE 235
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78411-4128
Mailing Address - Country:US
Mailing Address - Phone:361-991-2423
Mailing Address - Fax:361-991-3211
Practice Address - Street 1:5262 S STAPLES ST STE 235
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78411-4128
Practice Address - Country:US
Practice Address - Phone:361-991-2423
Practice Address - Fax:361-991-3211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50598237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty