Provider Demographics
NPI:1922838325
Name:SHAFER HEARING VENTURES, LLC
Entity type:Organization
Organization Name:SHAFER HEARING VENTURES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DANIEL
Authorized Official - Last Name:SHAFER
Authorized Official - Suffix:JR
Authorized Official - Credentials:HIS
Authorized Official - Phone:210-742-8522
Mailing Address - Street 1:225 SAGECREST DR
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78232-1331
Mailing Address - Country:US
Mailing Address - Phone:210-315-5337
Mailing Address - Fax:
Practice Address - Street 1:3314 E SOUTHCROSS BLVD
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78223-1922
Practice Address - Country:US
Practice Address - Phone:210-742-8522
Practice Address - Fax:210-898-9812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-02
Last Update Date:2024-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and Speech