Provider Demographics
NPI:1629306683
Name:MEMORIAL NORTHWEST HEARING AIDS, LLC
Entity Type:Organization
Organization Name:MEMORIAL NORTHWEST HEARING AIDS, LLC
Other - Org Name:MEM NW HEARING AIDS, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DON
Authorized Official - Middle Name:
Authorized Official - Last Name:UNFRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-802-9779
Mailing Address - Street 1:1740 W 27TH ST
Mailing Address - Street 2:SUITE 234
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1440
Mailing Address - Country:US
Mailing Address - Phone:713-802-9779
Mailing Address - Fax:713-802-2289
Practice Address - Street 1:1740 W 27TH ST
Practice Address - Street 2:SUITE 234
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1440
Practice Address - Country:US
Practice Address - Phone:713-802-9779
Practice Address - Fax:713-802-2289
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-01
Last Update Date:2009-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech