Provider Demographics
NPI:1053314930
Name:HERRING, ROBERT A (AUD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:A
Last Name:HERRING
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3091 UNIVERSITY DR E
Mailing Address - Street 2:SUITE 410
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77802-3494
Mailing Address - Country:US
Mailing Address - Phone:979-776-4327
Mailing Address - Fax:979-776-4326
Practice Address - Street 1:3091 UNIVERSITY DR E
Practice Address - Street 2:SUITE 410
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77802-3494
Practice Address - Country:US
Practice Address - Phone:979-776-4327
Practice Address - Fax:979-776-4326
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-24
Last Update Date:2014-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51019231H00000X, 237600000X
TX90553237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0A3814Medicare PIN