Provider Demographics
NPI:1538411210
Name:SOUTHWEST HEARING CARE INC
Entity type:Organization
Organization Name:SOUTHWEST HEARING CARE INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-325-8899
Mailing Address - Street 1:1661 N SWAN RD
Mailing Address - Street 2:STE 220
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-4042
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1661 N SWAN RD
Practice Address - Street 2:STE 220
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-4042
Practice Address - Country:US
Practice Address - Phone:520-325-8899
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty