Provider Demographics
NPI:1558777573
Name:MCLEAN HEARINGCENTER, LLC
Entity Type:Organization
Organization Name:MCLEAN HEARINGCENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGLEA
Authorized Official - Middle Name:
Authorized Official - Last Name:MCLEAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-363-4955
Mailing Address - Street 1:6160 SHERRY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-6314
Mailing Address - Country:US
Mailing Address - Phone:214-363-4955
Mailing Address - Fax:214-363-4970
Practice Address - Street 1:6160 SHERRY LN STE 100
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75225-6314
Practice Address - Country:US
Practice Address - Phone:214-363-4955
Practice Address - Fax:214-363-4970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-10
Last Update Date:2014-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50578237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty