Basic Information
| Provider Information | |||||||||
| NPI: | 1114200391 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | METX LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1404 S NEW RD | ||||||||
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| City: | WACO | ||||||||
| State: | TX | ||||||||
| PostalCode: | 767111335 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2548700574 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3810 S COOPER ST | ||||||||
| Address2: | STE 144 | ||||||||
| City: | ARLINGTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 76015 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8174664327 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/23/2011 | ||||||||
| LastUpdateDate: | 07/11/2018 | ||||||||
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| AuthorizedOfficialLastName: | CARROLL | ||||||||
| AuthorizedOfficialFirstName: | KENNY LYNN | ||||||||
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| AuthorizedOfficialTitleorPosition: | HR | ||||||||
| AuthorizedOfficialTelephone: | 2542275189 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 237700000X | Y | 193400000X SINGLE SPECIALTY GROUP | Speech, Language and Hearing Service Providers | Hearing Instrument Specialist |
No ID Information.