Provider Demographics
NPI:1528393162
Name:ATEC GROUP, LLC
Entity Type:Organization
Organization Name:ATEC GROUP, LLC
Other - Org Name:HEARING WEST TEXAS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOPROSTHOLOGIST / OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSH
Authorized Official - Middle Name:
Authorized Official - Last Name:VILLASENOR
Authorized Official - Suffix:
Authorized Official - Credentials:ACA, NBC-HIS
Authorized Official - Phone:432-254-1251
Mailing Address - Street 1:1562 WESTBROOK AVE
Mailing Address - Street 2:
Mailing Address - City:ODESSA
Mailing Address - State:TX
Mailing Address - Zip Code:79761-1838
Mailing Address - Country:US
Mailing Address - Phone:423-296-6617
Mailing Address - Fax:432-296-6605
Practice Address - Street 1:855 CENTRAL DR
Practice Address - Street 2:SUITE 16
Practice Address - City:ODESSA
Practice Address - State:TX
Practice Address - Zip Code:79761-4200
Practice Address - Country:US
Practice Address - Phone:432-296-6617
Practice Address - Fax:432-296-6605
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-15
Last Update Date:2009-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50120237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty