Provider Demographics
NPI:1457474918
Name:HEARING AIDS OF HOUSTON
Entity Type:Organization
Organization Name:HEARING AIDS OF HOUSTON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL AUDIOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SANDI
Authorized Official - Middle Name:
Authorized Official - Last Name:COE
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-A
Authorized Official - Phone:713-692-3277
Mailing Address - Street 1:509 W TIDWELL RD STE 303
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77091-4355
Mailing Address - Country:US
Mailing Address - Phone:713-692-3277
Mailing Address - Fax:713-697-9410
Practice Address - Street 1:509 W TIDWELL RD STE 303
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77091-4355
Practice Address - Country:US
Practice Address - Phone:713-692-3277
Practice Address - Fax:713-697-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50526332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX530955OtherBLUE CROSS BLUE SHIELD
TX200431301Medicaid
TX10014747Medicaid