Provider Demographics
NPI:1467580167
Name:ALLIED HEARING CARE CENTER LLC
Entity Type:Organization
Organization Name:ALLIED HEARING CARE CENTER LLC
Other - Org Name:ALLIED HEARING CARE CENTER AHCC
Other - Org Type:Other Name
Authorized Official - Title/Position:SPECIALIST LICENSED BY TEXAS
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANE
Authorized Official - Middle Name:M
Authorized Official - Last Name:LEDERER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-397-8595
Mailing Address - Street 1:32 FM 1960 W
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77090-3530
Mailing Address - Country:US
Mailing Address - Phone:281-397-8595
Mailing Address - Fax:281-397-8584
Practice Address - Street 1:32 FM 1960 W
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-3530
Practice Address - Country:US
Practice Address - Phone:281-397-8595
Practice Address - Fax:281-397-8584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50531237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX532338OtherBCBS