Provider Demographics
NPI:1164619391
Name:A & A AUDIOLOGY, PC
Entity Type:Organization
Organization Name:A & A AUDIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INSURANCE COORDINATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DONNA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:BURD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-790-9879
Mailing Address - Street 1:7335 82ND ST
Mailing Address - Street 2:SUITE # 3
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-4972
Mailing Address - Country:US
Mailing Address - Phone:806-771-4505
Mailing Address - Fax:806-771-4507
Practice Address - Street 1:7335 82ND ST STE 3
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-4972
Practice Address - Country:US
Practice Address - Phone:806-771-4505
Practice Address - Fax:806-771-4507
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-02
Last Update Date:2018-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0096NNOtherBLUE CROSS BLUE SHIELD
TX00863YMedicare PIN