Provider Demographics
NPI:1861653511
Name:AUDEX HEARING SOLUTIONS, INC.
Entity Type:Organization
Organization Name:AUDEX HEARING SOLUTIONS, INC.
Other - Org Name:EAST TEXAS HEARING SOLUTIONS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:WINFRED
Authorized Official - Last Name:BEATTY
Authorized Official - Suffix:JR
Authorized Official - Credentials:MA
Authorized Official - Phone:903-757-4083
Mailing Address - Street 1:903 N FOURTH ST
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75601-4031
Mailing Address - Country:US
Mailing Address - Phone:903-757-4083
Mailing Address - Fax:
Practice Address - Street 1:903 N FOURTH ST
Practice Address - Street 2:
Practice Address - City:LONGVIEW
Practice Address - State:TX
Practice Address - Zip Code:75601-4031
Practice Address - Country:US
Practice Address - Phone:903-757-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-24
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50322 AUDIOLOGY332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment