Provider Demographics
NPI:1932605029
Name:HEART OF TEXAS HEARING CENTERS, INC.
Entity Type:Organization
Organization Name:HEART OF TEXAS HEARING CENTERS, INC.
Other - Org Name:HEART OF TEXAS HEARING CENTERS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:FOWLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:325-646-5633
Mailing Address - Street 1:2510 CROCKETT DR STE A
Mailing Address - Street 2:
Mailing Address - City:BROWNWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:76801-5928
Mailing Address - Country:US
Mailing Address - Phone:325-646-5633
Mailing Address - Fax:325-646-5405
Practice Address - Street 1:2510 CROCKETT DR STE A
Practice Address - Street 2:
Practice Address - City:BROWNWOOD
Practice Address - State:TX
Practice Address - Zip Code:76801-5928
Practice Address - Country:US
Practice Address - Phone:325-646-5633
Practice Address - Fax:325-646-5405
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center