| Benke Ear Nose And Throat Clinic | |
|
1317 Glenwood Dr, Cleburne, TX 76033 | |
| (817) 641-3750 | |
| Not Available |
| Full Name | Benke Ear Nose And Throat Clinic |
|---|---|
| Type | Facility |
| Speciality | Audiologist |
| Location | 1317 Glenwood Dr, Cleburne, Texas |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881813475 | NPI | - | NPPES |
| 044777302 | Medicaid | TX | |
| 044777301 | Medicaid | TX | |
| 081301601 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | H7889 (Texas) | Primary |
| 237600000X | Audiologist-hearing Aid Fitter | H7889 (Texas) | Secondary |
| Provider Name | Theodore T Benke |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1295786135 PECOS PAC ID: 8729152749 Enrollment ID: I20100327000443 |
| Provider Name | Samantha Lee Powers |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1841719671 PECOS PAC ID: 3072867050 Enrollment ID: I20210723000644 |
| Provider Name | Nicole Zander Raven |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790922797 PECOS PAC ID: 1557419835 Enrollment ID: I20240402003682 |
| Mailing Address | Practice Location Address |
|---|---|
| Benke Ear Nose And Throat Clinic 1317 Glenwood Dr, Cleburne, TX 76033 Ph: (817) 641-3750 | Benke Ear Nose And Throat Clinic 1317 Glenwood Dr, Cleburne, TX 76033 Ph: (817) 641-3750 |
Erin Kathleen Holman, AU.D Audiologist Medicare: Not Enrolled in Medicare Practice Location: 203 Walls Dr, Suite 101, Cleburne, TX 76033 Phone: 817-641-3750 Fax: 817-641-3754 | |
Thomas P Mahoney, MS Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1663 W Henderson St, Cleburne, TX 76033 Phone: 817-641-4327 Fax: 817-641-4337 | |
Jack Jones Hearing Centers, Inc. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 211 N Anglin St, Cleburne, TX 76031 Phone: 817-645-5565 Fax: 817-641-3679 | |
Dr. Samantha Powers, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 1317 Glenwood Dr, Cleburne, TX 76033 Phone: 817-641-3750 Fax: 817-641-3754 |