Provider Demographics
NPI:1437383601
Name:BROOKS HEARING, LLC
Entity Type:Organization
Organization Name:BROOKS HEARING, LLC
Other - Org Name:BROOKS HEARING AND SPEECH CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:AUDIOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JAMI
Authorized Official - Middle Name:H
Authorized Official - Last Name:BROOKS
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC-FAAA
Authorized Official - Phone:903-737-8800
Mailing Address - Street 1:3130 LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:PARIS
Mailing Address - State:TX
Mailing Address - Zip Code:75460-5020
Mailing Address - Country:US
Mailing Address - Phone:903-737-8800
Mailing Address - Fax:903-784-8429
Practice Address - Street 1:3130 LAMAR AVE
Practice Address - Street 2:
Practice Address - City:PARIS
Practice Address - State:TX
Practice Address - Zip Code:75460-5020
Practice Address - Country:US
Practice Address - Phone:903-737-8800
Practice Address - Fax:903-784-8429
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-05-04
Last Update Date:2011-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50734231H00000X
TX14561235Z00000X
TX80263237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid FitterGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX089238202Medicaid
TX089238203Medicaid
TX198911902Medicaid
TX089238201Medicaid
TX198911901Medicaid
TXTXB118879Medicare PIN
TX580064Medicare PIN
TX118879Medicare PIN