| The Hearing Docto | |
|
5607 114th St Suite 100 Lubbock TX 79424 | |
| (806) 798-3600 | |
| (806) 798-3601 |
| Full Name | The Hearing Docto |
|---|---|
| Speciality | Clinic/Center |
| Location | 5607 114th St, Lubbock, Texas |
| Authorized Official Name and Position | Arica G Black (MANAGER) |
| Authorized Official Contact | 8067983600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hearing Docto 5607 114th St Suite 100 Lubbock TX 79424 Ph: (806) 798-3600 | The Hearing Docto 5607 114th St Suite 100 Lubbock TX 79424 Ph: (806) 798-3600 |
| NPI Number | 1598255507 |
|---|---|
| Provider Enumeration Date | 05/15/2018 |
| Last Update Date | 11/05/2021 |
| Certification Date | 10/19/2021 |
| Medicare PECOS PAC ID | 9234484064 |
|---|---|
| Medicare Enrollment ID | O20180620000611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598255507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Secondary |
| 261QH0700X | Clinic/center - Hearing And Speech | () | Primary |
| 231H00000X | Audiologist | () | Secondary |
| Provider Name | Arica Black |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1871938639 PECOS PAC ID: 5991949455 Enrollment ID: I20130924000055 |
| Provider Name | Kendall Victoria Morales |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1629717616 PECOS PAC ID: 8729455688 Enrollment ID: I20221104002343 |
| Provider Name | Sage West |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1104617976 PECOS PAC ID: 2062931637 Enrollment ID: I20250527003476 |
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