ENT AUDIOLOGY CONSULTING
Ambulatory Health at San Pedro Ave, San Antonio, TX

License number
Texas 50134
Category
Ambulatory Health
Type
Hearing and Speech
Owner
Name: WILLIAM M MCCRAE
Title: MANAGER
Phone: (210) 402-6020
Address
Address
17201 San Pedro Ave SUITE 100, San Antonio, TX 78232
National Provider ID: 1457722472
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ENT AUDIOLOGY CONSULTING, LLC

17201 San Pedro Ave, San Antonio, TX 78232

Registration:
Mar 17, 2014
State ID:
0801953117
MANAGERs:
John Daniel Shafer Jr (GOVERNING), 20202 Settlers Vly, San Antonio, TX 78258,Tracy A Byerly Ii (GOVERNING), 1217 Virginia Dr, Kerrville, TX 78028,William Mccrae (MANAGER), 17201 San Pedro Ave, San Antonio, TX 78232
TIN:
32053491620

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