Provider Demographics
NPI:1407825284
Name:HOUSTON EAR RESEARCH FOUNDATION
Entity Type:Organization
Organization Name:HOUSTON EAR RESEARCH FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AUDIOLOGIST/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JAN
Authorized Official - Middle Name:
Authorized Official - Last Name:GILDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:713-771-9966
Mailing Address - Street 1:7737 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 630
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1807
Mailing Address - Country:US
Mailing Address - Phone:713-771-9966
Mailing Address - Fax:713-771-0546
Practice Address - Street 1:7737 SOUTHWEST FWY
Practice Address - Street 2:SUITE 630
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1807
Practice Address - Country:US
Practice Address - Phone:713-771-9966
Practice Address - Fax:713-771-0546
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-15
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50220231H00000X
TX50172231H00000X
TX50346231H00000X
TX51231231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty