Provider Demographics
NPI:1114138484
Name:EAR SPECIALISTS OF AUSTIN, PLLC
Entity Type:Organization
Organization Name:EAR SPECIALISTS OF AUSTIN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:VARDAMAN
Authorized Official - Last Name:KEMPER
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:512-836-8786
Mailing Address - Street 1:5750 BALCONES DR
Mailing Address - Street 2:STE 200
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4252
Mailing Address - Country:US
Mailing Address - Phone:512-836-8786
Mailing Address - Fax:512-836-8794
Practice Address - Street 1:5750 BALCONES DR
Practice Address - Street 2:STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4252
Practice Address - Country:US
Practice Address - Phone:512-836-8786
Practice Address - Fax:512-836-8794
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ2122207YX0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0901XAllopathic & Osteopathic PhysiciansOtolaryngologyOtology & NeurotologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0070GWOtherBCBS GROUP IDENTIFIER
TX0070GWOtherBCBS GROUP IDENTIFIER