Provider Demographics
NPI:1578043311
Name:MUSCATO, JOHN A (HEARING INSTRUMENT S)
Entity Type:Individual
Prefix:MR
First Name:JOHN
Middle Name:A
Last Name:MUSCATO
Suffix:
Gender:M
Credentials:HEARING INSTRUMENT S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6468 HOLLY ROAD
Mailing Address - Street 2:
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78412-4842
Mailing Address - Country:US
Mailing Address - Phone:361-814-3487
Mailing Address - Fax:361-814-3490
Practice Address - Street 1:13330 LEOPARD ST. STE. 25
Practice Address - Street 2:
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78410-4440
Practice Address - Country:US
Practice Address - Phone:361-241-7511
Practice Address - Fax:361-241-0347
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80337237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist