Provider Demographics
NPI:1215185210
Name:MARQUARDT, SCOTT AARON (AUD)
Entity Type:Individual
Prefix:MR
First Name:SCOTT
Middle Name:AARON
Last Name:MARQUARDT
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 1:11439 SPRING CYPRESS RD UNIT B
Mailing Address - Street 2:
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77377-6513
Mailing Address - Country:US
Mailing Address - Phone:936-273-4437
Mailing Address - Fax:936-273-3279
Practice Address - Street 1:11439 SPRING CYPRESS RD UNIT B
Practice Address - Street 2:
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77377-6513
Practice Address - Country:US
Practice Address - Phone:936-273-4437
Practice Address - Fax:936-273-3279
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX51045231H00000X, 237600000X, 231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8L7280Medicare PIN
TX8L7279Medicare PIN
TX8L7282Medicare PIN
TX8L7281Medicare PIN