Provider Demographics
NPI:1609029339
Name:DORIS JOAN HESTER
Entity Type:Organization
Organization Name:DORIS JOAN HESTER
Other - Org Name:ADVANCE TECHNOLOGY HEARING CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:JOAN
Authorized Official - Last Name:HESTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-935-0327
Mailing Address - Street 1:2693 N HIGHWAY 77
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-6148
Mailing Address - Country:US
Mailing Address - Phone:972-935-0327
Mailing Address - Fax:972-767-0368
Practice Address - Street 1:2693 N HIGHWAY 77
Practice Address - Street 2:SUITE 104
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-6148
Practice Address - Country:US
Practice Address - Phone:972-935-0327
Practice Address - Fax:972-767-0368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-26
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50363237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX50363OtherLICENSE
TX531667OtherBCBS