Provider Demographics
NPI:1245890748
Name:TEXAS HEARING ASSOCIATES LLC
Entity type:Organization
Organization Name:TEXAS HEARING ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:PRILL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, HIS
Authorized Official - Phone:210-845-8181
Mailing Address - Street 1:2643 RIM OAK
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-2657
Mailing Address - Country:US
Mailing Address - Phone:210-845-8181
Mailing Address - Fax:
Practice Address - Street 1:2376 BULVERDE RD STE 108
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-4593
Practice Address - Country:US
Practice Address - Phone:830-358-3675
Practice Address - Fax:830-714-5084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-17
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty