Provider Demographics
NPI:1346622776
Name:TRINITY AUDIOLOGY SPECIALISTS, PLLC
Entity Type:Organization
Organization Name:TRINITY AUDIOLOGY SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/AUDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RAE
Authorized Official - Middle Name:
Authorized Official - Last Name:GUERRERO
Authorized Official - Suffix:
Authorized Official - Credentials:AUD
Authorized Official - Phone:409-727-4327
Mailing Address - Street 1:7980 ANCHOR DR
Mailing Address - Street 2:SUITE 300B
Mailing Address - City:PORT ARTHUR
Mailing Address - State:TX
Mailing Address - Zip Code:77642-8266
Mailing Address - Country:US
Mailing Address - Phone:409-727-4327
Mailing Address - Fax:409-727-5176
Practice Address - Street 1:7980 ANCHOR DR
Practice Address - Street 2:SUITE 300B
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-8266
Practice Address - Country:US
Practice Address - Phone:409-727-4327
Practice Address - Fax:409-727-5176
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-22
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX80467231H00000X
TX80487231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty