Provider Demographics
NPI:1548426547
Name:HEARING INSTRUMENT CENTER, INC.
Entity Type:Organization
Organization Name:HEARING INSTRUMENT CENTER, INC.
Other - Org Name:BELTONE AUSTIN
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:BLAIR
Authorized Official - Last Name:MELANCON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-A
Authorized Official - Phone:512-452-9200
Mailing Address - Street 1:7739 NORTHCROSS DR STE U
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78757-1726
Mailing Address - Country:US
Mailing Address - Phone:512-452-9200
Mailing Address - Fax:512-452-9211
Practice Address - Street 1:7739 NORTHCROSS DR STE U
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78757-1726
Practice Address - Country:US
Practice Address - Phone:512-452-9200
Practice Address - Fax:512-452-9211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-30
Last Update Date:2008-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51487332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment