Provider Demographics
NPI:1891998712
Name:HEAR LAB INC.
Entity Type:Organization
Organization Name:HEAR LAB INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:
Authorized Official - Last Name:GREEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-614-0100
Mailing Address - Street 1:5282 MEDICAL DR STE 150
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78229-5378
Mailing Address - Country:US
Mailing Address - Phone:210-614-0100
Mailing Address - Fax:210-614-6797
Practice Address - Street 1:5282 MEDICAL DR STE 150
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78229-5378
Practice Address - Country:US
Practice Address - Phone:210-614-0100
Practice Address - Fax:210-614-6797
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2014-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00478EMedicare ID - Type Unspecified