Provider Demographics
NPI:1851652911
Name:MELODY MARTIN AU.D. HEARING AIDS LLC.
Entity Type:Organization
Organization Name:MELODY MARTIN AU.D. HEARING AIDS LLC.
Other - Org Name:MARTIN HEARING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELODY
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:254-732-9741
Mailing Address - Street 1:4720 W WACO DR
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76710-7016
Mailing Address - Country:US
Mailing Address - Phone:254-732-9741
Mailing Address - Fax:254-732-9745
Practice Address - Street 1:4720 W WACO DR
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76710-7016
Practice Address - Country:US
Practice Address - Phone:254-732-9741
Practice Address - Fax:254-732-9745
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-06
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50259231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty