Provider Demographics
NPI:1750502498
Name:HEARING CLINIC LLC
Entity Type:Organization
Organization Name:HEARING CLINIC LLC
Other - Org Name:HEARING CLINIC LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER AND PRACTICING AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIN
Authorized Official - Middle Name:S
Authorized Official - Last Name:MUSANI
Authorized Official - Suffix:
Authorized Official - Credentials:AU D
Authorized Official - Phone:903-463-9900
Mailing Address - Street 1:206 S AUSTIN AVE
Mailing Address - Street 2:
Mailing Address - City:DENISON
Mailing Address - State:TX
Mailing Address - Zip Code:75020-3016
Mailing Address - Country:US
Mailing Address - Phone:903-463-9900
Mailing Address - Fax:
Practice Address - Street 1:206 S AUSTIN AVE
Practice Address - Street 2:
Practice Address - City:DENISON
Practice Address - State:TX
Practice Address - Zip Code:75020-3016
Practice Address - Country:US
Practice Address - Phone:903-463-9900
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2023-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51141237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXDB6213OtherPALMETTO GBA GROUP
TX162599803Medicaid
TX7505672OtherAETNA PROVIDER
TX0022KSOtherBCBS GROUP
TX162598001Medicaid
TXDB6213OtherPALMETTO GBA GROUP
00711VMedicare PIN