Provider Demographics
NPI:1336485481
Name:AUDIOLOGY CONSULTING SERVICES, P.L.L.C.
Entity Type:Organization
Organization Name:AUDIOLOGY CONSULTING SERVICES, P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/AUDIOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:SOFIA
Authorized Official - Middle Name:E
Authorized Official - Last Name:VON HAPSBURG
Authorized Official - Suffix:
Authorized Official - Credentials:MS,CCC/A
Authorized Official - Phone:956-793-4677
Mailing Address - Street 1:125 E SWORDFISH ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PADRE ISLAND
Mailing Address - State:TX
Mailing Address - Zip Code:78597-6985
Mailing Address - Country:US
Mailing Address - Phone:956-793-4677
Mailing Address - Fax:877-285-3739
Practice Address - Street 1:1901 BELL ST STE C
Practice Address - Street 2:
Practice Address - City:HARLINGEN
Practice Address - State:TX
Practice Address - Zip Code:78550-8293
Practice Address - Country:US
Practice Address - Phone:956-793-4677
Practice Address - Fax:877-285-3739
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-18
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
51226237600000X
261QH0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Single Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX022446101Medicaid
TX022446102Medicaid
TX022446103Medicaid
TX022446102Medicaid