Provider Demographics
NPI:1982904926
Name:LONESTAR HEARING LLC
Entity Type:Organization
Organization Name:LONESTAR HEARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:GLEASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-351-9136
Mailing Address - Street 1:101 EXECUTIVE CT
Mailing Address - Street 2:SUITE 100B
Mailing Address - City:WAXAHACHIE
Mailing Address - State:TX
Mailing Address - Zip Code:75165-1970
Mailing Address - Country:US
Mailing Address - Phone:972-351-9136
Mailing Address - Fax:
Practice Address - Street 1:101 EXECUTIVE CT
Practice Address - Street 2:SUITE 100B
Practice Address - City:WAXAHACHIE
Practice Address - State:TX
Practice Address - Zip Code:75165-1970
Practice Address - Country:US
Practice Address - Phone:972-351-9136
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80379237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty