Provider Demographics
NPI:1083055107
Name:ALLISON AUDIOLOGY & HEARING AID CENTER PC
Entity Type:Organization
Organization Name:ALLISON AUDIOLOGY & HEARING AID CENTER PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANA
Authorized Official - Middle Name:
Authorized Official - Last Name:EMOLA
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:713-827-1767
Mailing Address - Street 1:12900 QUEENSBURY LN
Mailing Address - Street 2:STE 100
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77079-3713
Mailing Address - Country:US
Mailing Address - Phone:713-827-1767
Mailing Address - Fax:713-827-1984
Practice Address - Street 1:12900 QUEENSBURY LN
Practice Address - Street 2:STE 100
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77079-3713
Practice Address - Country:US
Practice Address - Phone:713-827-1767
Practice Address - Fax:713-827-1984
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-17
Last Update Date:2014-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80140231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty