Provider Demographics
NPI:1598987380
Name:HEARING RESEARCH INSITUTE, INC.
Entity Type:Organization
Organization Name:HEARING RESEARCH INSITUTE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:D
Authorized Official - Last Name:KELLEY
Authorized Official - Suffix:
Authorized Official - Credentials:HIS, ACA
Authorized Official - Phone:254-742-0580
Mailing Address - Street 1:3320 PECAN VALLEY DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:TEMPLE
Mailing Address - State:TX
Mailing Address - Zip Code:76502-1569
Mailing Address - Country:US
Mailing Address - Phone:254-742-0580
Mailing Address - Fax:254-742-0967
Practice Address - Street 1:3320 PECAN VALLEY DR
Practice Address - Street 2:SUITE E
Practice Address - City:TEMPLE
Practice Address - State:TX
Practice Address - Zip Code:76502-1569
Practice Address - Country:US
Practice Address - Phone:254-742-0580
Practice Address - Fax:254-742-0967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX 50601237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX531337OtherBCBS